Doctor Name: | JUDITH NOISEUX |
NPI Number: | 1104904341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R042520-1 |
Business Practice Address: | 201 State St Ste 202 Ogdensburg, NY - 136691421 |
Business Phone Number: | 3157483392 |
Business Fax Number: | 3153934757 |
Mailing Address: | 201 State St Ste 202, OGDENSBURG |
State: | NY |
Postal Code: | 136691421 |
Phone Number: | 3157483392 |
Fax Number: | 3153934757 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R042520-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |