Provider Demographics
NPI:1578750451
Name:NOBLE, WILLIAM CONNER (MSC, D MIN)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CONNER
Last Name:NOBLE
Suffix:
Gender:M
Credentials:MSC, D MIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 WAYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4451
Mailing Address - Country:US
Mailing Address - Phone:732-544-3670
Mailing Address - Fax:
Practice Address - Street 1:1941 WAYSIDE RD
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-4451
Practice Address - Country:US
Practice Address - Phone:732-544-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000563-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst