Provider Demographics
NPI:1598897563
Name:HARTMAN COUNSELING & PSYCHOLOGICAL SERVICES P.S. INC
Entity Type:Organization
Organization Name:HARTMAN COUNSELING & PSYCHOLOGICAL SERVICES P.S. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD AND ADOLESCENT PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-889-1240
Mailing Address - Street 1:11808 NORTHUP WAY
Mailing Address - Street 2:STE W150
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1936
Mailing Address - Country:US
Mailing Address - Phone:425-889-1240
Mailing Address - Fax:425-889-1249
Practice Address - Street 1:11808 NORTHUP WAY
Practice Address - Street 2:STE W150
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1936
Practice Address - Country:US
Practice Address - Phone:425-889-1240
Practice Address - Fax:425-889-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY2597103TC2200X
WALW46941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty