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TREVOR F HYDE PHD

Clinical Neuropsychologist

Milwaukee, Wisconsin

Provider NPI: 1982641452

Provider Information:
 TREVOR F HYDE PHD
Gender: M


Practice Location:
945 N 12TH ST SUITE 4602 MILWAUKEE, WI 53233 US
Tel: 414-219-7450  Fax: --

Business Mailing Address:
945 N 12TH ST SUITE 4602 MILWAUKEE, WI 53233 US
Tel: 414-219-7450  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2605

Other Provider Identifiers:

IssuerNumberStateType
40986800WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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