| Forty-five Degrees, P.c. | |
|
13533 S Wild Brook Dr Riverton UT 84065-2380 | |
| (801) 616-9459 | |
| Not Available |
| Full Name | Forty-five Degrees, P.c. |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 13533 S Wild Brook Dr, Riverton, Utah |
| Authorized Official Name and Position | Heather Dyeann Hoyal (PRESIDENT) |
| Authorized Official Contact | 8016169459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forty-five Degrees, P.c. 13533 S Wild Brook Dr Riverton UT 84065-2380 Ph: (801) 616-9459 | Forty-five Degrees, P.c. 13533 S Wild Brook Dr Riverton UT 84065-2380 Ph: (801) 616-9459 |
| NPI Number | 1427608421 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427608421 | NPI | - | NPPES |
| 311424-2501 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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