Whalio Doctors

NPI 1003039736

Jerry W Noble, PHD

Practitioner Clinical Psychologist Winston Salem, NC

Practice location

Address
2000 W 1st St Suite 510, Winston Salem, NC 27104-4225
Phone
(336) 748-0809
Fax
(336) 748-0809

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0968 (NC)

Registry record

NPI
1003039736
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Apr 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.