1. Home
  2. Directory
  3. Utah
  4. Park City
  5. Peer Specialist
  6. NPI Profile

MR. GREG SPEZIALE
NPI 1043966591
Peer Specialist in Park City, UT

Active since February 23, 2022
36 RACQUET CLUB DR, PARK CITY, UT 84060(801) 425-8767 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Greg Speziale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREG SPEZIALE (NPI 1043966591) is an individual peer specialist in Park City, Utah, licensed in Utah (1478) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1043966591
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. GREG SPEZIALE
Location Address36 RACQUET CLUB DRPark City, UT 84060
Mailing Address2100 Park Ave Unit 682941Park City, UT 84068-4619 · (801) 425-8767
Phone(801) 425-8767
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1043966591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in UT · 1478
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

36 RACQUET CLUB DR, Park City, UT 84060
Open in Google Maps ↗

Other Identifiers 1

Other1478UT · State Of Utah Certified Peer Support Specialist

Frequently Asked Questions

What is Greg Speziale's NPI number?

The NPI number assigned to this healthcare provider is 1043966591, enumerated as an "individual" on February 23, 2022.

Where is the provider located?

The provider is located at 36 RACQUET CLUB DR PARK CITY, UT 84060 and the phone number is (801) 425-8767.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.

What insurance does Greg Speziale accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.