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
Phone: (763) 785-8111
Fax: (763) 785-8111
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730130758 | NPPES |
| Minnesota | MEDICAID | 4912233-00 |
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