Provider Demographics
NPI:1942342647
Name:HYLAND, KAREN ZOE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ZOE
Last Name:HYLAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3734 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4317
Mailing Address - Country:US
Mailing Address - Phone:619-354-7400
Mailing Address - Fax:619-574-6964
Practice Address - Street 1:3734 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4317
Practice Address - Country:US
Practice Address - Phone:619-354-7400
Practice Address - Fax:619-574-6964
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 17839103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical