Individual
DR. KELLIE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5140 NORTHWIND BLVD, CONDO 305 EAST, VALDOSTA, GA 31605-4506
(352) 262-8751
Mailing address
5140 NORTHWIND BLVD, CONDO 305 EAST, VALDOSTA, GA 31605-4506
(352) 262-8751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8196
FL
Other
Enumeration date
11/08/2007
Last updated
08/06/2012
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