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Jessica Hyde, AUD
NPI 1669949012 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3333 Mendocino Ave Ste 115
Santa Rosa, CA 95403 - Phone
- (707) 566-5201
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California