Provider Demographics
NPI:1831278126
Name:COLWES HYMOWITZ, CARRIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:COLWES HYMOWITZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 ROUND A BEND RD
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-6519
Mailing Address - Country:US
Mailing Address - Phone:914-631-0730
Mailing Address - Fax:914-366-8872
Practice Address - Street 1:547 SAW MILL RIVER RD STE PH
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2145
Practice Address - Country:US
Practice Address - Phone:914-631-0789
Practice Address - Fax:914-366-8872
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012346103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent