Individual
MILDRED ELIZABETH HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
(337) 508-2506
Mailing address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
(337) 508-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3327
OK
235Z00000X
Speech-Language Pathologist
Primary
8978
LA
235Z00000X
Speech-Language Pathologist
SLP7099
NM
Other
Enumeration date
09/24/2007
Last updated
06/27/2023
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