Provider Demographics
NPI:1548455413
Name:HAYDEN, DARA LYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DARA
Middle Name:LYNN
Last Name:HAYDEN
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 1:1801 E COTATI AVE
Mailing Address - Street 2:SONOMA STATE UNIVERSITY CAPS DEPARTMENT
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-3613
Mailing Address - Country:US
Mailing Address - Phone:707-664-2153
Mailing Address - Fax:
Practice Address - Street 1:1801 E COTATI AVE
Practice Address - Street 2:SONOMA STATE UNIVERSITY CAPS DEPARTMENT
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-3613
Practice Address - Country:US
Practice Address - Phone:707-664-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health