| Nobles Psyd Lp Llc | |
|
241 Cleveland Ave S Suite 2d Saint Paul MN 55105-1208 | |
| (651) 698-2326 | |
| (651) 690-0906 |
| Full Name | Nobles Psyd Lp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 241 Cleveland Ave S, Saint Paul, Minnesota |
| Authorized Official Name and Position | Yvonne Fernandez Nobles (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6516982326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nobles Psyd Lp Llc 241 Cleveland Ave S Suite 2d Saint Paul MN 55105-1208 Ph: (651) 698-2326 | Nobles Psyd Lp Llc 241 Cleveland Ave S Suite 2d Saint Paul MN 55105-1208 Ph: (651) 698-2326 |
| NPI Number | 1154623593 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 6406275049 |
|---|---|
| Medicare Enrollment ID | O20200930002234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154623593 | NPI | - | NPPES |
| 680001712 | Other | MN | MEDICARE ID-TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP4435 (Minnesota) | Primary |
| Provider Name | Yvonne F Nobles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659371318 PECOS PAC ID: 3779764501 Enrollment ID: I20110225000708 |
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