Provider Demographics
NPI:1891726808
Name:MCVEY-NOBLE, MERRY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:MERRY
Middle Name:E
Last Name:MCVEY-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 1:25 BURKHARDT AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-2618
Mailing Address - Country:US
Mailing Address - Phone:516-495-4388
Mailing Address - Fax:
Practice Address - Street 1:SALTZMAN COMMUNITY SERVICES CTR
Practice Address - Street 2:131 HOFSTRA UNIVERSITY
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11549-1310
Practice Address - Country:US
Practice Address - Phone:516-463-6791
Practice Address - Fax:516-463-4831
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014899103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMM0V092V10Medicare ID - Type Unspecified