Provider Demographics
NPI:1083409783
Name:HYDEN, JULIAN (LBS, LAPC)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:HYDEN
Suffix:
Gender:
Credentials:LBS, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 WOODHAVEN RD APT 427
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-2935
Mailing Address - Country:US
Mailing Address - Phone:267-912-1581
Mailing Address - Fax:
Practice Address - Street 1:4319 HULMEVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3898
Practice Address - Country:US
Practice Address - Phone:215-750-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH007453103K00000X
PAAPC000899101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst