Individual
DR. AMANDA HYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 MERRICK AVE, MERRICK, NY 11566-3434
(516) 457-3972
Mailing address
124 MERRICK AVE, MERRICK, NY 11566-3434
(516) 457-3972
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015706-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02596578
—
NY
Enumeration date
07/18/2006
Last updated
03/18/2012
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