Hyde, Kellie

Hyde, Kellie is an individual health care provider with primary practice located at 5140 Northwind Blvd Condo 305 East, Valdosta GA 31605-4506. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hyde, Kellie can be contacted via phone (352) 262-8751.

Contact Information

Primary practice address
5140 Northwind Blvd Condo 305 East Valdosta GA 31605-4506
Phone: (352) 262-8751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8196 Florida

Profile Details

NPI number 1881874618
LBN Legal business name Hyde, Kellie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Aug 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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