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NPI Code Detail

MEDICARE: DR. KAYLEEN MITCHELL HILL PH.D.

MEDICARE: DR. KAYLEEN MITCHELL HILL PH.D.
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
1101YM0800XMental Health Counselor120161-3501UT

General Provider Information

NPI Number : 1518920289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAYLEEN MITCHELL HILL PH.D.
Provider Business Mailing Address
First Line : 4505 WASATCH BLVD
Second Line : SUITE 380
City : SALT LAKE CITY
State : UT
Zip : 84124-4709
Country : US
Telephone Number : 801-944-8787
Fax Number : 801-571-4824
Provider Business Practice Location Address
First Line : 4505 WASATCH BLVD
Second Line : SUITE 380
City : SALT LAKE CITY
State : UT
Zip : 84124-4709
Country : US
Telephone Number : 801-944-8787
Fax Number : 801-571-4824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 07/08/2007

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