Provider Demographics
NPI:1023313939
Name:NOBLE, ASHLEY HARRISON (PSYD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:HARRISON
Last Name:NOBLE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E SOUTHLAKE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6274
Mailing Address - Country:US
Mailing Address - Phone:817-488-3538
Mailing Address - Fax:
Practice Address - Street 1:211 E SOUTHLAKE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6274
Practice Address - Country:US
Practice Address - Phone:817-488-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34625103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical