Individual
KEITH NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2626 W COLLEGE RD, SPRINGFIELD, MO 65802-4637
(417) 869-8911
Mailing address
2626 W COLLEGE RD, SPRINGFIELD, MO 65802-4637
(417) 869-8911
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
00831
MO
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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