Provider Demographics
NPI:1326197112
Name:NOLL, KAY ARDEN (MSW, LCSW, DAPA)
Entity Type:Individual
Prefix:MRS
First Name:KAY
Middle Name:ARDEN
Last Name:NOLL
Suffix:
Gender:F
Credentials:MSW, LCSW, DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 AMESBURY PARKE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3359
Mailing Address - Country:US
Mailing Address - Phone:609-953-0824
Mailing Address - Fax:609-953-2022
Practice Address - Street 1:11 AMESBURY PARKE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-3359
Practice Address - Country:US
Practice Address - Phone:609-953-0824
Practice Address - Fax:609-953-2022
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00034300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist