Provider Demographics
NPI:1154474153
Name:NOBLE, ANN (PH D)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:NOBLE
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 NASHVILLE AVE # A
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1906
Mailing Address - Country:US
Mailing Address - Phone:806-798-7250
Mailing Address - Fax:806-783-0534
Practice Address - Street 1:8200 NASHVILLE AVE # A
Practice Address - Street 2:SUITE 201
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1906
Practice Address - Country:US
Practice Address - Phone:806-798-7250
Practice Address - Fax:806-783-0534
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3005106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist