Healthcare Provider Details

I. General information

NPI: 1538400791
Provider Name (Legal Business Name): WENDY HOYT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 E 900 S
SALT LAKE CITY UT
84111-4331
US

IV. Provider business mailing address

349 E 900 S
SALT LAKE CITY UT
84111-4331
US

V. Phone/Fax

Practice location:
  • Phone: 801-910-5759
  • Fax: 801-487-2930
Mailing address:
  • Phone:
  • Fax: 801-487-2930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number55276922501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: WENDY HOYT
Title or Position: PRESIDENT
Credential: PHD
Phone: 801-910-5759