| Doctor Name: | MS. KATHY TYSON DAY |
| NPI Number: | 1457578569 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSAC |
| License Number: | 5467907-6006 |
| Business Practice Address: | 55 S 500 E Heber City, UT - 840321918 |
| Business Phone Number: | 4356573228 |
| Business Fax Number: | 4356540309 |
| Mailing Address: | 1145 Pine Cir, HEBER CITY |
| State: | UT |
| Postal Code: | 840321124 |
| Phone Number: | 4356573228 |
| Fax Number: | 4356540309 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5467907-6006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |