| Herndon Psychotherapy And Evaluation Pllc | |
|
1174 W Le Rosier Ct West Jordan UT 84088-9076 | |
| (801) 657-3330 | |
| Not Available |
| Full Name | Herndon Psychotherapy And Evaluation Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1174 W Le Rosier Ct, West Jordan, Utah |
| Authorized Official Name and Position | Natalie Cox Herndon (OWNER) |
| Authorized Official Contact | 6017573382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herndon Psychotherapy And Evaluation Pllc 1174 W Le Rosier Ct West Jordan UT 84088-9076 Ph: (801) 657-3330 | Herndon Psychotherapy And Evaluation Pllc 1174 W Le Rosier Ct West Jordan UT 84088-9076 Ph: (801) 657-3330 |
| NPI Number | 1881042612 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Medicare PECOS PAC ID | 5698069441 |
|---|---|
| Medicare Enrollment ID | O20160802002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881042612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7954817-2501 (Utah) | Primary |
| Provider Name | Natalie C Herndon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356537542 PECOS PAC ID: 6507150356 Enrollment ID: I20160802002776 |
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