Provider Demographics
NPI:1407122047
Name:NORIEGA, TUYET (PLMHC)
Entity Type:Individual
Prefix:
First Name:TUYET
Middle Name:
Last Name:NORIEGA
Suffix:
Gender:F
Credentials:PLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-2113
Mailing Address - Country:US
Mailing Address - Phone:319-242-2606
Mailing Address - Fax:
Practice Address - Street 1:814 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-2113
Practice Address - Country:US
Practice Address - Phone:319-242-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health