Provider Demographics
NPI:1609654425
Name:DAHLE, HILARY
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:DAHLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 E CAMPUS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-5451
Mailing Address - Country:US
Mailing Address - Phone:801-789-7780
Mailing Address - Fax:
Practice Address - Street 1:3714 E CAMPUS DR STE 101
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-5451
Practice Address - Country:US
Practice Address - Phone:801-789-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health