Healthcare Provider Details

I. General information

NPI: 1477388494
Provider Name (Legal Business Name): GILAH SALAS HYDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3323 WASHINGTON RD STE 200
MC MURRAY PA
15317-6407
US

IV. Provider business mailing address

3005 MOUNT ALLISTER RD
PITTSBURGH PA
15214-2603
US

V. Phone/Fax

Practice location:
  • Phone: 412-559-9152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017098
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: