Provider Demographics
NPI:1962475483
Name:HYLLAND, DAVID H (EDD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:HYLLAND
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD133103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0040484OtherBLUE CROSS
SD15190OtherMIDLANDS CHOICE
SD25450OtherARAZ/ AMERICA'S PPO
MN527223800Medicaid
SD57108C010OtherWPS TRICARE
MN040121002OtherPRIMEWEST
IA1958108Medicaid
SD27052OtherSANFORD HEALTH PLAN
SD412991019125OtherPREFERRED ONE
SDP133OtherDAKOTACARE
NE46022474352Medicaid
SDHP24355OtherHEALTHPARTNERS
ND12200Medicaid
MN141M4HYOtherCC SYSTEMS/ BLUE PLUS
SD6551123Medicaid
SD680015316OtherRR MEDICARE
SD370624200OtherDEPT OF LABOR
SD25450OtherARAZ/ AMERICA'S PPO
ND12200Medicaid