Individual
RICHARD DAVID NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4565 W LORD REDMAN LOOP, TUCSON, AZ 85741-4042
(520) 631-3681
Mailing address
PO BOX 91493, TUCSON, AZ 85752-1493
(520) 631-3681
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
106S00000X
Behavior Technician
—
—
163WP0000X
Pain Management Registered Nurse
3009524
AZ
225A00000X
Music Therapist
Primary
3009524
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601637737
—
AZ
Enumeration date
09/26/2020
Last updated
09/26/2020
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