Hyder, Jacquelyn L

Hyder, Jacquelyn L is an sole proprietor health care provider with primary practice located at 1636 W Old Liberty Rd Suite 1, Eldersburg MD 21784-9335. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hyder, Jacquelyn L can be contacted via phone (410) 635-8400.

Contact Information

Primary practice address
1636 W Old Liberty Rd Suite 1 Eldersburg MD 21784-9335
Phone: (410) 635-8400
Fax: (410) 635-8444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA046 Maryland
Behavioral Health & Social Service Providers / Pastoral 101YP1600X LC0911 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC0911 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC0911 Maryland

Profile Details

NPI number 1396891461
LBN Legal business name Hyder, Jacquelyn L
Credentials LCPC & LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 19 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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