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General NPI Number Information
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NPI Number | 1679080790
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Entity Type | Organization
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Legal Business Name | HYDE PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1150 TAMPA RD
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City | PALM HARBOR
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State | FL
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Zip | 34683-5553
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Country | US
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Telephone | 727-469-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 TAMPA RD
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City | PALM HARBOR
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State | FL
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Zip | 34683-5553
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Country | US
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Telephone | 727-469-3008
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. KEVIN HYDE
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Credential | PSY.D.
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Telephone | 727-469-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY9881
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License Number State | FL
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