Provider Demographics
NPI:1992458061
Name:HYMAN, RACHEL SHIRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SHIRA
Last Name:HYMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 116TH AVE NE STE 206
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3056
Mailing Address - Country:US
Mailing Address - Phone:206-474-4332
Mailing Address - Fax:
Practice Address - Street 1:6924 SE ALLEN ST
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3357
Practice Address - Country:US
Practice Address - Phone:206-474-4332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-30
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60921593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical