Provider Demographics
NPI:1750979928
Name:HYMAN, SCOTT M (PHD PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:HYMAN
Suffix:
Gender:M
Credentials:PHD PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8755 NW 36TH STREET EXT
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2401
Mailing Address - Country:US
Mailing Address - Phone:203-710-7993
Mailing Address - Fax:
Practice Address - Street 1:8755 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2401
Practice Address - Country:US
Practice Address - Phone:305-935-7141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8026103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY8026OtherNO INSURANCE PARTICIPATION