Provider Demographics
NPI:1780043604
Name:BRIGG NOYES, PHD
Entity Type:Organization
Organization Name:BRIGG NOYES, PHD
Other - Org Name:SALT LAKE RELATIONSHIP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIGG
Authorized Official - Middle Name:B
Authorized Official - Last Name:NOYES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-716-7003
Mailing Address - Street 1:160 S 1000 E STE 310
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1474
Mailing Address - Country:US
Mailing Address - Phone:801-716-7003
Mailing Address - Fax:
Practice Address - Street 1:160 S 1000 E STE 310
Practice Address - Street 2:SUITE 310
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1474
Practice Address - Country:US
Practice Address - Phone:801-716-7003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5334408-2501103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty