Individual
DR. MARK EDWIN NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
158 NAPOLEON ST, SUITE 104, VALPARAISO, IN 46383-5529
(219) 465-7674
(219) 462-0329
Mailing address
158 NAPOLEON ST, SUITE 104, VALPARAISO, IN 46383-5529
(219) 465-7674
(219) 462-0329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010455A
IN
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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