Noble, Randy V

Noble, Randy V is an individual health care provider with primary practice located at 100 S Prewitt St , Nevada MO 64772-1760. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Noble, Randy V can be contacted via phone (417) 667-8700.

Contact Information

Primary practice address
100 S Prewitt St Nevada MO 64772-1760
Fax: (417) 667-7382
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 01503 Missouri

Profile Details

NPI number 1811971336
LBN Legal business name Noble, Randy V
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Nov 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811971336 NPPES
Missouri MEDICAID 493245401

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