Provider Demographics
NPI:1356537542
Name:HERNDON, NATALIE COX (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:COX
Last Name:HERNDON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:HERNDON
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1174 W LE ROSIER CT
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-9076
Mailing Address - Country:US
Mailing Address - Phone:801-657-3330
Mailing Address - Fax:801-713-1387
Practice Address - Street 1:265 EAST 100 SOUTH
Practice Address - Street 2:SUITE NUMBER 275
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-1649
Practice Address - Country:US
Practice Address - Phone:801-657-3330
Practice Address - Fax:801-350-9582
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7954817-2501103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist