Provider Demographics
NPI:1659411338
Name:NOAH, AUGUSTINE K (MSW)
Entity Type:Individual
Prefix:MR
First Name:AUGUSTINE
Middle Name:K
Last Name:NOAH
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1235 PINE STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-735-9379
Mailing Address - Fax:215-735-8199
Practice Address - Street 1:2288 SECOND STREET PIKE STE 6
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4108
Practice Address - Country:US
Practice Address - Phone:215-598-0223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health