Individual
SCOTT MATTHEW HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
432 NW 6TH ST STE 206, GRANTS PASS, OR 97526-2054
(541) 295-5707
Mailing address
3152 WALNUT AVE, GRANTS PASS, OR 97527-9678
(541) 295-5707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11717
OR
Other
Enumeration date
09/30/2019
Last updated
03/06/2024
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