Gregory Hatch Fowers, MFT
Individual provider Active NPI Marriage & Family Therapist · North Logan, UT
NPI 1275816639 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1275816639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 8098373-3904 (UT)
- Practice address
- 2072 N Main St Ste 101
North Logan, UT 84341-1778 - Phone
- (435) 752-4646
- NPI assigned
- Sep 22, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8098373-3904 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8098373-3904 | UT | Yes |
Addresses
Primary practice location
2072 N Main St Ste 101
North Logan, UT 84341-1778
Mailing address
2072 N Main St Ste 101
North Logan, UT 84341-1778
Phone (435) 752-4646
Other providers in North Logan, UT
- Leila Elmi-Stuart
- Kade Erickson
- Christopher Fabricius
- Deborah Ruth Flansburg
- Jaylie Folkman
- William Price Fullmer IV
- Courtney Gifford
- Abigail Gingles
- Ryan Don Godfrey
- Golden Steps
All providers in North Logan, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. 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.