Individual
PHILIP HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 MERRIMACK ST, LOWELL, MA 01854-3906
(978) 459-8656
Mailing address
555 MERRIMACK ST, LOWELL, MA 01854-3906
(978) 459-8656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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