MEDICARE: KEVIN C HYDE PSYD

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	PY9881	FL

General Provider Information

NPI Number	:	1598287807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN C HYDE PSYD

Provider Business Mailing Address
First Line	:	1150 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5553
Country	:	US
Telephone Number	:	716-913-2765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5553
Country	:	US
Telephone Number	:	727-498-1809
Fax Number	:

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

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	06/03/2025

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Directions to “ KEVIN C HYDE PSYD” Practice Location

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