Doctor Name: | KYLIE BEVELL |
NPI Number: | 1255788626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1165 E 300 N Provo, UT - 846063539 |
Business Phone Number: | 8013734765 |
Business Fax Number: | |
Mailing Address: | 566 N 400 E, Apt 5 PROVO |
State: | UT |
Postal Code: | 846067517 |
Phone Number: | 6127999627 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |