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KYLE MAX HANCOCK PHD PC NPI 1598067480


NPI Information

NPI: 1598067480
Provider Name: KYLE MAX HANCOCK, PHD, PC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
246 E 1260 N
LOGAN, UT
ZIP 84341
Phone: (435) 750-6300
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KYLE MAX HANCOCK, PHD, PC is a community behavioral health in Logan, UT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KYLE MAX HANCOCK, PHD, PC NPI is 1598067480. The provider is registered as an organization entity type.

The provider's business location address is:

246 E 1260 N
LOGAN, UT
ZIP 84341-501
Phone: (435) 750-6300
Fax: (435) 753-8995

The provider's authorized official is Kyle Max Hancock .
The authorized official title is Psychologist and has the following contact phone number (435) 750-6300.

The enumeration date for this NPI number is 11/27/2010 and was last updated on 11/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health74537142501UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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