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NPI Code Detail

MEDICARE: PHILIP C. HYDE, PH.D., P.C.

MEDICARE: PHILIP C. HYDE, PH.D., P.C.
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
1103T00000XPsychologist215OK

General Provider Information

NPI Number : 1548482169
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILIP C. HYDE, PH.D., P.C.
Provider Business Mailing Address
First Line : 1117 NW 50TH. ST.
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1117 NW 50TH. ST.
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4401
Country : US
Telephone Number : 405-842-4435
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. PHILIP CARLTON HYDE
Credential : PH.D.
Telephone Number : 405-842-4435
Provider Enumeration Date : 05/03/2007
Last Update Date : 08/22/2020

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