Provider Demographics
NPI:1417173360
Name:STEVEN P. HYMEN, PHD, PS
Entity Type:Organization
Organization Name:STEVEN P. HYMEN, PHD, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:HYMEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-361-7544
Mailing Address - Street 1:10740 MERIDIAN AVE N STE 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9010
Mailing Address - Country:US
Mailing Address - Phone:206-361-7544
Mailing Address - Fax:206-729-0683
Practice Address - Street 1:10740 MERIDIAN AVE N STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9010
Practice Address - Country:US
Practice Address - Phone:206-361-7544
Practice Address - Fax:206-729-0683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY2210103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAR14341Medicare UPIN
WAAB08108Medicare ID - Type Unspecified