Doctor Name: | DR. DALE CARLON NOELTING |
NPI Number: | 1164431276 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS006447L |
Business Practice Address: | 301 Ohio River Blvd Suite 304 Sewickley, PA - 151431300 |
Business Phone Number: | 4127412005 |
Business Fax Number: | 4127414988 |
Mailing Address: | 301 Ohio River Blvd, Suite 304 SEWICKLEY |
State: | PA |
Postal Code: | 151431300 |
Phone Number: | 4127412005 |
Fax Number: | 4127414988 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS006447L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |