Healthcare Provider Details

I. General information

NPI: 1265786743
Provider Name (Legal Business Name): HILARY TRYTTEN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2012
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 ACACIA CT
TEHACHAPI CA
93561-2230
US

IV. Provider business mailing address

905 ACACIA CT
TEHACHAPI CA
93561-2230
US

V. Phone/Fax

Practice location:
  • Phone: 661-238-3183
  • Fax:
Mailing address:
  • Phone: 661-238-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY25843
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY25843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: