Dr Kyle Max Hancock, PHD | |
246 E 1260 N, Logan, UT 84341-7501 | |
(435) 750-6300 | |
(435) 753-8995 |
Full Name | Dr Kyle Max Hancock |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 15 Years |
Location | 246 E 1260 N, Logan, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164748729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 74537142501 (Utah) | Primary |
Entity Name | Mount Logan Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275152910 PECOS PAC ID: 6002219557 Enrollment ID: O20210722000079 |
Mailing Address | Practice Location Address |
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Dr Kyle Max Hancock, PHD 246 E 1260 N, Logan, UT 84341-7501 Ph: (435) 750-6300 | Dr Kyle Max Hancock, PHD 246 E 1260 N, Logan, UT 84341-7501 Ph: (435) 750-6300 |
Dr. Monique R Frazier, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 246 E 1260 N, Logan, UT 84341 Phone: 435-750-6300 Fax: 435-753-8995 | |
Dr. Rick Anthony Cruz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6405 Old Main Hill, Logan, UT 84322 Phone: 435-797-3401 | |
Gretchen Gimpel Peacock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2810 Old Main Hl, Department Of Psychology, Logan, UT 84322 Phone: 435-797-0721 Fax: 435-797-1448 | |
Ms. Graca Maria De Oliveira Costa, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 90 E 200 N, Logan, UT 84321 Phone: 435-752-0750 | |
Kevin Joseph Chi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 6055, Logan, UT 84341 Phone: 435-752-8880 Fax: 855-936-3283 | |
Dr. Steven Lucero, PHD, MBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 93 S 1250 E, Logan, UT 84321 Phone: 307-631-0148 |