Basic Information
| Provider Information | |||||||||
| NPI: | 1427528207 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HALLMAN | ||||||||
| FirstName: | KRISTI | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LCSW-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 VALLEY VIEW CT | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217698045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016398051 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 300 W 9TH ST | ||||||||
| Address2: | |||||||||
| City: | FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217014541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6676003310 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2018 | ||||||||
| LastUpdateDate: | 12/05/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 09376 | MD | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.