Individual
JUDY HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4100
(440) 233-4468
Mailing address
4306 HYDE PARK APT 6, NORTH OLMSTED, OH 44070-5206
(440) 364-9144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-0000240
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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