Provider Demographics
NPI:1336970391
Name:HARTMAN, JAMI LYN
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:LYN
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:PLEASANT LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46779-0015
Mailing Address - Country:US
Mailing Address - Phone:260-215-2257
Mailing Address - Fax:
Practice Address - Street 1:160 DIVISION ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-2906
Practice Address - Country:US
Practice Address - Phone:517-320-0418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst