Provider Demographics
NPI:1871368340
Name:HYNDMAN, BRANDI (LMSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:HYNDMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 FREDERICK DOUGLASS BLVD APT 28L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-1348
Mailing Address - Country:US
Mailing Address - Phone:917-227-4884
Mailing Address - Fax:
Practice Address - Street 1:2999 FREDERICK DOUGLASS BLVD APT 28L
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-1348
Practice Address - Country:US
Practice Address - Phone:917-227-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121558101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor