Individual
DR. DEDALUS HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1036 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1427
(415) 963-9694
Mailing address
1036 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1427
(415) 963-9694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23019
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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