Individual
DR. JACOB NATHANIEL HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5620 N TUCSON MOUNTAIN DR, TUCSON, AZ 85743-7634
(202) 930-3393
Mailing address
5620 N TUCSON MOUNTAIN DR, TUCSON, AZ 85743-7634
(202) 930-3393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0004648
CO
103TC0700X
Clinical Psychologist
PSY-005044
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
PSY-005044
AZ
103TH0004X
Health Psychologist
0004648
CO
103TH0004X
Health Psychologist
Primary
PSY-005044
AZ
Other
Enumeration date
08/16/2017
Last updated
06/21/2021
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