Doctor Name: | ELIZABETH ANN NOBLE |
NPI Number: | 1033517693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S |
License Number: | OH3107996 |
Business Practice Address: | 7630 Bethany Rd Liberty Township, OH - 450449583 |
Business Phone Number: | 5135887700 |
Business Fax Number: | |
Mailing Address: | 13726 New Harmony Shiloh Rd, MOUNT ORAB |
State: | OH |
Postal Code: | 451549148 |
Phone Number: | 5135434367 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2014 |
NPI Last Update Date: | 12/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH3107996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |