Individual
DR. RANDY V NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01503
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493245401
—
MO
Enumeration date
11/30/2005
Last updated
11/24/2009
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