Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3107996 | OH |
NPI | 1033517693 |
---|---|
Provider Name | Elizabeth Ann Noble |
First Address | Mount Orab, OH 45154-9148 |
Second Address | Liberty Township, OH 45044-9583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2014 |
Last Update Date | 15/12/2014 |