Provider Demographics
NPI:1104968429
Name:HOESCH, ALICE HAYS (PHD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:HAYS
Last Name:HOESCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1352 EAST 5935 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121
Mailing Address - Country:US
Mailing Address - Phone:623-842-8148
Mailing Address - Fax:623-435-9404
Practice Address - Street 1:11639 SOUTH 700 EAST SUITE #150
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020
Practice Address - Country:US
Practice Address - Phone:623-842-8148
Practice Address - Fax:623-435-9404
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3322103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ591877Medicaid