Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DOMINIQUE NOELLE HYDER, MS, SLE
Active Sole ProprietorMS. DOMINIQUE NOELLE HYDER, MS, SLE is a Behavioral Health, Residential healthcare provider located in HADDONFIELD, New Jersey. NPI 1821576562 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · HADDONFIELD, NJ
Registration Details
- NPI Number
- 1821576562
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2018 (8.0637243726859 yrs)
- Last Updated
- Aug 3, 2018
- License
-
NA (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 W CRYSTAL LAKE AVE APT 256AHADDONFIELD, NJ, 080333261Browse NJ providers · Browse ZIP 08033
- Phone
- 8569796298
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.