Provider Demographics
NPI:1083121230
Name:NOON, PIA RICCI
Entity Type:Individual
Prefix:
First Name:PIA
Middle Name:RICCI
Last Name:NOON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 MOUNT HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-5147
Mailing Address - Country:US
Mailing Address - Phone:443-904-7905
Mailing Address - Fax:
Practice Address - Street 1:997 MOUNT HOLLY DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-5147
Practice Address - Country:US
Practice Address - Phone:443-904-7905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2205101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor