Provider Demographics
NPI:1063627669
Name:HYMAN, CLAIRE (MFT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:HYMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1762
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90406-1762
Mailing Address - Country:US
Mailing Address - Phone:310-395-1787
Mailing Address - Fax:310-458-8887
Practice Address - Street 1:12011 SAN VICENTE BLVD STE 402
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-4946
Practice Address - Country:US
Practice Address - Phone:310-395-1787
Practice Address - Fax:310-458-8887
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT20808106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist