Individual
DR. KYLE MAX HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995
Mailing address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
74537142501
UT
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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