Provider Demographics
NPI:1528308483
Name:HARTMAN, STEVEN RAY (MA, LPC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:RAY
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15430 RIDGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3324
Mailing Address - Country:US
Mailing Address - Phone:281-858-5874
Mailing Address - Fax:281-858-5876
Practice Address - Street 1:15430 RIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3324
Practice Address - Country:US
Practice Address - Phone:281-858-5874
Practice Address - Fax:281-858-5876
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16152101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional