DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRETCHEN CARLY BERG

Active

Student (Health Education/Training) · PROVO, UT

Registration Details

NPI Number
1295340289
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2020 (5.638076539781 yrs)
Last Updated
Jan 22, 2026
Licenses
12617610-3503 (UT)
12617610-3503 (UT)

Practice Information

Address
750 N FREEDOM BLVD
PROVO, UT, 846011677
Browse UT providers · Browse ZIP 84601
Phone
8013734760
Primary Specialty
Student (Health Education/Training)
390200000X
Additional Specialty
Case Manager

Other Student (Health Education/Training) Providers in PROVO, UT

Name Credential NPI
LILLIAM HENNINGSON LCSW 1225158967
TYSON DEKORSE M.D. 1043421936
DR. JEREMY MCCANDLESS M.D. 1174713424
AMY CHERIE HOGLUND BSWI 1689844680
LORNA ALLISON LAIRD BSWI 1609041144
MARILYN TUCKER SOTO MSWI 1437324571
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.