Provider Demographics
NPI:1235481680
Name:NOEL, RUTH M
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:M
Last Name:NOEL
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 1:2350 PARK PLACE DR
Mailing Address - Street 2:120
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-3059
Mailing Address - Country:US
Mailing Address - Phone:504-248-8663
Mailing Address - Fax:
Practice Address - Street 1:2350 PARK PLACE DR
Practice Address - Street 2:120
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-3059
Practice Address - Country:US
Practice Address - Phone:504-248-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker