Organization
NOLL PSYCHOLOGICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS NOLL PH.D. (CORPORATE SECRETARY)
(816) 835-9882
Entity
Organization
Contact information
Practice address
15515 N MOUNT OLIVET RD, SMITHVILLE, MO 64089-9076
(816) 835-9882
Mailing address
15515 N MOUNT OLIVET RD, SMITHVILLE, MO 64089-9076
(816) 835-9882
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PYR0288
MO
103TC0700X
Clinical Psychologist
Primary
PY01864
MO
103TC0700X
Clinical Psychologist
PYR0288
MO
Other
Enumeration date
07/14/2005
Last updated
09/11/2025
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