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NPI Code Detail

MEDICARE: PATRICIA HAYNER

MEDICARE:   PATRICIA  HAYNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YS0200XSchool Counselor150133314CA
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1013436815
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HAYNER
Provider Business Mailing Address
First Line : 10298 S OTTER TRAIL DR
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84009-6109
Country : US
Telephone Number : 951-541-3043
Fax Number :
Provider Business Practice Location Address
First Line : 10298 S OTTER TRAIL DR
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84009-6109
Country : US
Telephone Number : 951-541-3043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 03/06/2023

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Directions to “ PATRICIA HAYNER ” Practice Location

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