Whalio Doctors

NPI 1164748729

Kyle Max Hancock, PHD

Practitioner Psychologist Logan, UT

Practice location

Address
246 E 1260 N, Logan, UT 84341-7501
Phone
(435) 750-6300
Fax
(435) 753-8995

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 74537142501 (UT)

Registry record

NPI
1164748729
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Apr 2010
Record last updated
7 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.