| Doctor Name: | CHRISTINA SHAW HYDE |
| NPI Number: | 1013077965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW, LCSW |
| License Number: | 2005022242 |
| Business Practice Address: | 1260 Ne Windsor Dr Lees Summit, MO - 640865594 |
| Business Phone Number: | 8163478777 |
| Business Fax Number: | |
| Mailing Address: | 3540 Genessee St, KANSAS CITY |
| State: | MO |
| Postal Code: | 641113963 |
| Phone Number: | 8167537056 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2005022242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |