Individual
HEATHER RENA HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
109 E WATAUGA AVE, JOHNSON CITY, TN 37601-4675
(423) 232-2600
(423) 232-2646
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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