Healthcare Provider Details

I. General information

NPI: 1922356732
Provider Name (Legal Business Name): STACY LYNN HAMILTON JONES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACY LYNN HAMILTON PHD

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W 200 S
NEWTON UT
84327-7786
US

IV. Provider business mailing address

560 W 465 N STE 604
PROVIDENCE UT
84332-8006
US

V. Phone/Fax

Practice location:
  • Phone: 435-216-9937
  • Fax:
Mailing address:
  • Phone: 435-753-1600
  • Fax: 435-753-9521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number7089635-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: