Provider Demographics
NPI:1255712949
Name:NOBLE, SHARON RAE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:RAE
Last Name:NOBLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 E 4800 S
Mailing Address - Street 2:#250
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5039
Mailing Address - Country:US
Mailing Address - Phone:801-910-9685
Mailing Address - Fax:
Practice Address - Street 1:825 E 4800 S
Practice Address - Street 2:#250
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5039
Practice Address - Country:US
Practice Address - Phone:801-910-9685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5383080-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical