| K.m. Noonan, Ph.d., Llc | |
|
3121 Amesbury Way Duluth GA 30096-5861 | |
| (770) 490-0975 | |
| Not Available |
| Full Name | K.m. Noonan, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3121 Amesbury Way, Duluth, Georgia |
| Authorized Official Name and Position | Katherine Marie Noonan (SOLE MEMBER) |
| Authorized Official Contact | 7704900975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K.m. Noonan, Ph.d., Llc 3121 Amesbury Way Duluth GA 30096-5861 Ph: (770) 490-0975 | K.m. Noonan, Ph.d., Llc 3121 Amesbury Way Duluth GA 30096-5861 Ph: (770) 490-0975 |
| NPI Number | 1184750226 |
|---|---|
| Provider Enumeration Date | 02/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184750226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY002952 (Georgia) | Primary |
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