Provider Demographics
NPI:1134397938
Name:HYMAN, ANNETTE M (LCPC)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:M
Last Name:HYMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7516 SAFFRON CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1459
Mailing Address - Country:US
Mailing Address - Phone:443-597-2363
Mailing Address - Fax:410-760-4066
Practice Address - Street 1:1331 ASHTON RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3157
Practice Address - Country:US
Practice Address - Phone:443-597-2363
Practice Address - Fax:410-760-4066
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2706101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor