Individual
MS. SANDRA SMYTH HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
710 WOOD RIVER DRIVE, KETCHUM, ID 83340-2512
(208) 726-9051
Mailing address
PO BOX 2512, KETCHUM, ID 83340-2512
(208) 726-9051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC 246
ID
101YP2500X
Professional Counselor
Primary
LCPC 246
ID
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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