Most Relevant Information
Provider Data
| NPI Number: | 1003587684 |
| Provider Name: | GREGORY HYZY AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2021 |
| Last Updated: | 04/26/2022 |
Provider Practice Location
3301 CANDELARIA RD NE STE B
ALBUQUERQUE
NM
871071965
Practice Location Phone/Fax
| Phone: | 5052736300 |
| Fax: | 5052657860 |
Provider Mailing Location
3301 CANDELARIA RD NE STE B
ALBUQUERQUE
NM
871071965
Provider Mailing Phone/Fax
| Phone: | 5052736300 |
| Fax: | 5052657860 |