Individual
LEWIS B HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3229 S MELBOURNE ST, SALT LAKE CITY, UT 84106-3912
(801) 487-9000
(801) 487-9696
Mailing address
3229 S MELBOURNE ST, SALT LAKE CITY, UT 84106-3912
(801) 487-9000
(801) 487-9696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
83-114587-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009352101
IHC
UT
01
—
109961000
MAGELLAN
UT
01
—
12828
PEHP
UT
01
—
195567
VALUE OPTIONS
UT
Enumeration date
09/21/2006
Last updated
11/15/2017
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