Organization
NOBLES PSYD LP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE FERNANDEZ NOBLES PSYD (LICENSED PSYCHOLOGIST)
(651) 698-2326
Entity
Organization
Contact information
Practice address
241 CLEVELAND AVE S, SUITE 2D, SAINT PAUL, MN 55105-1208
(651) 698-2326
(651) 690-0906
Mailing address
241 CLEVELAND AVE S, SUITE 2D, SAINT PAUL, MN 55105-1208
(651) 698-2326
(651) 690-0906
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4435
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680001712
MEDICARE ID-TYPE UNSPECIFIED
MN
Enumeration date
11/17/2010
Last updated
06/08/2020
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