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Individual

DR. JAMES ANDREW HYDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFT

Contact information

Practice address
1044 ALTA VISTA RD, LOUISVILLE, KY 40205-1758
(502) 992-9364
(502) 895-1096
Mailing address
1044 ALTA VISTA RD, LOUISVILLE, KY 40205-1758
(502) 992-9364
(502) 895-1096

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
KY0106
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KY0106
MFT
KY
Enumeration date
06/25/2007
Last updated
07/08/2007
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