Organization
SOUTHLAKE PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization
SOUTHLAKE PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY NOBLE PSY.D. (PSYCHOLOGIST)
(817) 488-3538
Entity
Organization
Contact information
Practice address
211 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-6274
(817) 488-3538
Mailing address
211 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-6274
(817) 488-3538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
34625
TX
103TC0700X
Clinical Psychologist
Primary
34625
TX
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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