Organization
EDWARD J. HYMAN, PH.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J HYMAN PH.D. (PRESIDENT)
(415) 388-4479
Entity
Organization
Contact information
Practice address
39 SEACAPE DR, MUIR BEACH, CA 94965-9760
(415) 388-4479
(415) 388-5009
Mailing address
39 SEACAPE DR, MUIR BEACH, CA 94965-9760
(415) 388-4479
(415) 388-5009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY5684
PSYCHOLOGY LICENSE
CA
01
—
PSY884
PSYCHOLOGY LICENSE
HI
Enumeration date
09/10/2013
Last updated
09/10/2013
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