Healthcare Provider Details

I. General information

NPI: 1821325259
Provider Name (Legal Business Name): KATHERINE ANN HILTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E CENTER ST
PROVO UT
84606-3106
US

IV. Provider business mailing address

8970 QUAIL RUN DR
SANDY UT
84093-1710
US

V. Phone/Fax

Practice location:
  • Phone: 801-344-1207
  • Fax:
Mailing address:
  • Phone: 801-944-4789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5087602-3501
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: