Hollie Kay Callaway, PHD
Individual provider Active NPI Clinical Psychologist · Logan, UT
NPI 1659760296 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1659760296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6478532-2501 (UT)
- Practice address
- 1350 N 500 E
Logan, UT 84341-2400 - Phone
- (435) 792-1940
- Fax
- (435) 792-1692
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6478532-2501 | UT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6478532-2501 | UT | Yes |
Addresses
Primary practice location
1350 N 500 E
Logan, UT 84341-2400
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 792-1940
Other practice location 1
6770 S 900 E
Suite 105
Midvale, UT 84047-1709
Phone (801) 305-3171
Other names
- Dr. Hollie Kay Archibald
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.