Provider Demographics
NPI:1710184858
Name:NOBLE, LINN DIXON (PHD)
Entity Type:Individual
Prefix:
First Name:LINN
Middle Name:DIXON
Last Name:NOBLE
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 1:100 HAWKINS DRIVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1011
Mailing Address - Country:US
Mailing Address - Phone:319-353-6129
Mailing Address - Fax:319-384-9393
Practice Address - Street 1:100 HAWKINS DRIVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1011
Practice Address - Country:US
Practice Address - Phone:319-353-6129
Practice Address - Fax:319-384-9393
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA492103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent