Provider Demographics
NPI:1306066436
Name:HOYT, WENDY DAWN (PHD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:DAWN
Last Name:HOYT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:DAWN
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:349 E 900 S
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84111-4331
Mailing Address - Country:US
Mailing Address - Phone:801-532-3614
Mailing Address - Fax:801-487-2930
Practice Address - Street 1:349 E 900 S
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84111-4331
Practice Address - Country:US
Practice Address - Phone:801-532-3614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5527692259103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist