| Noll Psychological Group, Inc | |
|
15515 N Mount Olivet Rd Smithville MO 64089-9076 | |
| (816) 835-9882 | |
| Not Available |
| Full Name | Noll Psychological Group, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 15515 N Mount Olivet Rd, Smithville, Missouri |
| Authorized Official Name and Position | Nicholas Noll (CORPORATE SECRETARY) |
| Authorized Official Contact | 8168359882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noll Psychological Group, Inc 15515 N Mount Olivet Rd Smithville MO 64089-9076 Ph: (816) 835-9882 | Noll Psychological Group, Inc 15515 N Mount Olivet Rd Smithville MO 64089-9076 Ph: (816) 835-9882 |
| NPI Number | 1083612865 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214960228 |
|---|---|
| Medicare Enrollment ID | O20050912000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083612865 | NPI | - | NPPES |
| Provider Name | Nicholas C Noll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407854292 PECOS PAC ID: 8628001641 Enrollment ID: I20111017000696 |
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