Provider Demographics
NPI:1467508473
Name:PLOURDE, NOEL JOY (PHD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:JOY
Last Name:PLOURDE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 CULVER BLVD
Mailing Address - Street 2:SUITE P
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-7788
Mailing Address - Country:US
Mailing Address - Phone:310-577-2225
Mailing Address - Fax:
Practice Address - Street 1:211 CULVER BLVD
Practice Address - Street 2:SUITE P
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7788
Practice Address - Country:US
Practice Address - Phone:310-577-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC21757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist