Provider Demographics
NPI:1801229430
Name:NOYES, ADRIANNA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:
Last Name:NOYES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 W AARON DR APT C12
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3147
Mailing Address - Country:US
Mailing Address - Phone:870-944-0311
Mailing Address - Fax:
Practice Address - Street 1:950 W AARON DR APT C12
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3147
Practice Address - Country:US
Practice Address - Phone:870-944-0311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL015274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR202743721Medicaid