MEDICARE: MS. NANCY ELIZABETH HYLAND LMFT

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	106H00000X	Marriage & Family Therapist	52911	CA

General Provider Information

NPI Number	:	1639512692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY ELIZABETH HYLAND LMFT

Provider Business Mailing Address
First Line	:	1750 OCEAN PARK BLVD STE 200A
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-4938
Country	:	US
Telephone Number	:	310-821-3110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 OCEAN PARK BLVD STE 200A
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-4938
Country	:	US
Telephone Number	:	310-821-3110
Fax Number	:

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

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	01/13/2023

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