Noonan, Jacqueline Diane
Noonan, Jacqueline Diane is an individual health care provider with primary practice located at 300 Se 2Nd St , Lees Summit MO 64063-2759. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Noonan, Jacqueline Diane can be contacted via phone (816) 404-6170.Contact Information
Primary practice address
300 Se 2Nd St
Lees Summit MO 64063-2759
Phone: (816) 404-6170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25876 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 06316 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 02989 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2021004232 | Missouri |
Profile Details
| NPI number | 1275281669 |
|---|---|
| LBN Legal business name | Noonan, Jacqueline Diane |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2022 |
| Last updated | Mar 14th, 2022 - about 2 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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