Doctor Name: | VIVIAN NOBLE |
NPI Number: | 1376933085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11188 |
Business Practice Address: | 148 Skipping Rock Ln Garner, NC - 275293953 |
Business Phone Number: | 9198962249 |
Business Fax Number: | 9198036918 |
Mailing Address: | 148 Skipping Rock Ln, GARNER |
State: | NC |
Postal Code: | 275293953 |
Phone Number: | 9198962249 |
Fax Number: | 9198036918 |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |