Provider Demographics
NPI:1194105163
Name:HYATT, ERIKA EVA
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:EVA
Last Name:HYATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13019 PAULINE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3122
Mailing Address - Country:US
Mailing Address - Phone:888-770-7240
Mailing Address - Fax:248-403-8506
Practice Address - Street 1:13019 PAULINE DR
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-3122
Practice Address - Country:US
Practice Address - Phone:888-770-7240
Practice Address - Fax:248-403-8506
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other