Organization
KYLE MAX HANCOCK, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE MAX HANCOCK PHD (PSYCHOLOGIST)
(435) 750-6300
Entity
Organization
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
251S00000X
Community/Behavioral Health Agency
Primary
74537142501
UT
Other
Enumeration date
11/27/2010
Last updated
11/27/2010
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