MEDICARE: GREGORY NOEL LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	13899161-3902	UT

General Provider Information

NPI Number	:	1033556212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY NOEL LMFT

Provider Business Mailing Address
First Line	:	2421 N 400 E APT C5
Second Line	:
City	:	NORTH OGDEN
State	:	UT
Zip	:	84414-7288
Country	:	US
Telephone Number	:	702-834-1196
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 WASHINGTON BLVD STE 151
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84401-3744
Country	:	US
Telephone Number	:	435-574-9731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	08/15/2025

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