Leo Hyde
Rehabilitation Practitioner in Grass Valley, CA. Individual provider (NPI-1).
NPI number1962770883
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1962770883
- Entity type
- Individual (NPI-1)
- Name
- Leo Hyde
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2011
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
500 Crown Point CirGrass Valley, CA 95945-9561
Phone 530-265-1437
Mailing address
500 Crown Point CirGrass Valley, CA 95945-9561
Phone 530-470-2557
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Other Rehabilitation Practitioner providers in Grass Valley, CA
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All 21 Rehabilitation Practitioner providers in Grass Valley · All 2,088 providers in Grass Valley
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