Provider Demographics
NPI:1144771338
Name:HOYT, HEATHER E (PHD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:E
Last Name:HOYT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 BLUE LAKES BLVD N # 518
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-5238
Mailing Address - Country:US
Mailing Address - Phone:208-732-2027
Mailing Address - Fax:
Practice Address - Street 1:1505 MADRONA ST N # 900C
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-8318
Practice Address - Country:US
Practice Address - Phone:208-732-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-22
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPSY-202988103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID81-4210118OtherTAX ID