Provider Demographics
NPI:1922159391
Name:HYLAND, ELAINE T (MA)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:T
Last Name:HYLAND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4768 PARK GRANADA
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1548
Mailing Address - Country:US
Mailing Address - Phone:818-623-6463
Mailing Address - Fax:818-591-9104
Practice Address - Street 1:4768 PARK GRANADA
Practice Address - Street 2:SUITE 109
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1548
Practice Address - Country:US
Practice Address - Phone:818-623-6463
Practice Address - Fax:818-591-9104
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38434106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist