Noller, Gail Ann

Noller, Gail Ann is an individual health care provider with primary practice located at 199 Coon Rapids Blvd Nw Suite 310, Coon Rapids MN 55433-5831. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Noller, Gail Ann can be contacted via phone (763) 785-8111.

Contact Information

Primary practice address
199 Coon Rapids Blvd Nw Suite 310 Coon Rapids MN 55433-5831
Fax: (763) 785-8111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3194 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3194 Minnesota

Profile Details

NPI number 1730130758
LBN Legal business name Noller, Gail Ann
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 28th, 2019 - about 5 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 1730130758 NPPES
Minnesota MEDICAID 4912233-00

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