Individual
DR. GREGORY HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
285 W 80TH PL, MERRILLVILLE, IN 46410-5431
(219) 756-6501
(219) 756-6635
Mailing address
760 WOOD STREAM XING, VALPARAISO, IN 46385-2972
(219) 548-1319
(219) 756-6635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041813A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356954
ANTHEM BC/BS
IN
05
—
200462060A
—
IN
01
—
90001221
BC/BS OF ILLINOIS
IL
Enumeration date
08/19/2006
Last updated
07/14/2010
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