Provider Demographics
NPI:1235196411
Name:HYBARGER, CHAD K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:K
Last Name:HYBARGER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 ALVARADO RD STE 100A
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-8996
Mailing Address - Country:US
Mailing Address - Phone:619-562-2130
Mailing Address - Fax:619-562-2584
Practice Address - Street 1:7171 ALVARADO RD STE 100A
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-8996
Practice Address - Country:US
Practice Address - Phone:619-562-2130
Practice Address - Fax:619-562-2584
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-29
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22867103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist