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NPI Code Detail

MEDICARE: TREVOR F HYDE PHD

MEDICARE: TREVOR F HYDE PHD
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
1103T00000XPsychologist2605-57WI
2103TC0700XClinical Psychologist2605-57WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982641452
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREVOR F HYDE PHD
Provider Business Mailing Address
First Line : 945 N 12TH ST
Second Line : SUITE 4602
City : MILWAUKEE
State : WI
Zip : 53233-1305
Country : US
Telephone Number : 414-219-7450
Fax Number :
Provider Business Practice Location Address
First Line : 111 E WISCONSIN AVE STE 1500
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4808
Country : US
Telephone Number : 262-789-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/23/2025

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Directions to “ TREVOR F HYDE PHD” Practice Location

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