Provider Demographics
NPI:1932824042
Name:HYDE, NAOMI (MA, LAMFT)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:HYDE
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 E 950 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-7054
Mailing Address - Country:US
Mailing Address - Phone:801-845-4406
Mailing Address - Fax:
Practice Address - Street 1:250 N FAIRGROUNDS RD STE 2
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4201
Practice Address - Country:US
Practice Address - Phone:801-845-4406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13820988-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist