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Individual

CATHERINE HYDEN

Active
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Individual

CATHERINE HYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPA

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0809
KY
103TC0700X
Clinical Psychologist
Primary
245346
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000390487
ANTHEM BCBS
05
30610026
KY
Enumeration date
09/21/2006
Last updated
01/27/2022
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