Individual
DR. C. RICHARD NOBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
649 JONES RD, VESTAL, NY 13850-5226
(607) 379-0045
(607) 748-7997
Mailing address
649 JONES RD, VESTAL, NY 13850-5226
(607) 379-0045
(607) 748-7997
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010936
NY
103TC0700X
Clinical Psychologist
PS005849L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01694540
—
NY
Enumeration date
04/12/2007
Last updated
07/08/2007
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