MEDICARE: DR. MATTIE HELEN HYLAND PSY.D.

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	08733	OH

General Provider Information

NPI Number	:	1679205322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTIE HELEN HYLAND PSY.D.

Provider Business Mailing Address
First Line	:	12608 STATE RD STE 1
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3281
Country	:	US
Telephone Number	:	901-288-3254
Fax Number	:

Provider Business Practice Location Address
First Line	:	12608 STATE RD STE 1
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3281
Country	:	US
Telephone Number	:	901-288-3254
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	07/25/2025

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