Provider Demographics
NPI:1962425058
Name:HYMAN, EDWARD (LICSW)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:
Last Name:HYMAN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CRESTVIEW LN
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1147
Mailing Address - Country:US
Mailing Address - Phone:508-284-2410
Mailing Address - Fax:978-534-8723
Practice Address - Street 1:493 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-7506
Practice Address - Country:US
Practice Address - Phone:978-534-1962
Practice Address - Fax:978-534-8723
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1136061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical