Provider Demographics
NPI:1265786743
Name:TRYTTEN, HILARY (PSYD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:TRYTTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 ACACIA CT
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-2230
Mailing Address - Country:US
Mailing Address - Phone:661-238-3183
Mailing Address - Fax:
Practice Address - Street 1:905 ACACIA CT
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-2230
Practice Address - Country:US
Practice Address - Phone:661-238-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25843103TF0200X, 103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical