Provider Demographics
NPI:1497239867
Name:HYMAN, BATYA (MSW PHD)
Entity Type:Individual
Prefix:
First Name:BATYA
Middle Name:
Last Name:HYMAN
Suffix:
Gender:F
Credentials:MSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31161 RIVERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-7299
Mailing Address - Country:US
Mailing Address - Phone:302-945-3418
Mailing Address - Fax:
Practice Address - Street 1:31161 RIVERWOOD RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-7299
Practice Address - Country:US
Practice Address - Phone:302-945-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105049-SW-LICSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA105049-SW-LICSWOtherRECORD ID