| Doctor Name: | MRS. JACQUELYN L HYDER |
| NPI Number: | 1396891461 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC & LCADC |
| License Number: | LC0911 |
| Business Practice Address: | 1636 W Old Liberty Rd Suite 1 Eldersburg, MD - 217849335 |
| Business Phone Number: | 4106358400 |
| Business Fax Number: | 4106358444 |
| Mailing Address: | 1636 W Old Liberty Rd, Suite 1 ELDERSBURG |
| State: | MD |
| Postal Code: | 217849335 |
| Phone Number: | 4106358400 |
| Fax Number: | 4106358444 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | LC0911 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |