Individual
LYLE J. NOISY HAWK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-005341
AZ
103T00000X
Psychologist
PY1040
NV
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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