Healthcare Provider Details

I. General information

NPI: 1164857298
Provider Name (Legal Business Name): ALISON HYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 ORLEANS RD STE B
NORTH CHATHAM MA
02650-3101
US

IV. Provider business mailing address

PO BOX 6
TRURO MA
02666-0006
US

V. Phone/Fax

Practice location:
  • Phone: 774-216-0216
  • Fax:
Mailing address:
  • Phone: 774-470-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number117469
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: