Individual
NICHOLAS NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1208 NE 97TH ST, KANSAS CITY, MO 64155-2109
(816) 835-9882
Mailing address
1208 NE 97TH ST, KANSAS CITY, MO 64155-2109
(816) 835-9882
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PYR0288
MO
103TC0700X
Clinical Psychologist
PYR0288
MO
Other
Enumeration date
07/14/2005
Last updated
07/13/2026
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