Provider Demographics
NPI:1831440205
Name:HYMAN, KIERSTEN K (LSW)
Entity type:Individual
Prefix:MRS
First Name:KIERSTEN
Middle Name:K
Last Name:HYMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 OLD FORD DR
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-8352
Mailing Address - Country:US
Mailing Address - Phone:717-635-1169
Mailing Address - Fax:
Practice Address - Street 1:154 OLD FORD DR
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-8352
Practice Address - Country:US
Practice Address - Phone:717-635-1169
Practice Address - Fax:717-918-5749
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1286091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical