MEDICARE: HYLAND CHILD AND FAMILY PSYCHOLOGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1336072842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYLAND CHILD AND FAMILY PSYCHOLOGY LLC

Provider Business Mailing Address
First Line	:	3356 ARDMORE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-3404
Country	:	US
Telephone Number	:	901-288-3254
Fax Number	:

Provider Business Practice Location Address
First Line	:	3356 ARDMORE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-3404
Country	:	US
Telephone Number	:	901-288-3254
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTIE HELEN HYLAND
Credential	:	PSY.D.
Telephone Number	:	901-288-3254

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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