Healthcare Provider Details

I. General information

NPI: 1841656162
Provider Name (Legal Business Name): KENDAL PRITCHARD CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W CACHE VALLEY BLVD STE 7B
LOGAN UT
84341-8475
US

IV. Provider business mailing address

670 S 1360 W
LOGAN UT
84321-6051
US

V. Phone/Fax

Practice location:
  • Phone: 435-538-2152
  • Fax: 435-625-6237
Mailing address:
  • Phone: 435-799-7635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8407978-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: