Provider Demographics
NPI:1790596203
Name:TALIBAH, NOOR PRINCESS (PSYCH,D)
Entity type:Individual
Prefix:DR
First Name:NOOR
Middle Name:PRINCESS
Last Name:TALIBAH
Suffix:
Gender:F
Credentials:PSYCH,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 MONTICELLO AVE STE
Mailing Address - Street 2:STE 1802 PMB #443755
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510
Mailing Address - Country:US
Mailing Address - Phone:202-600-5265
Mailing Address - Fax:
Practice Address - Street 1:440 MONTICELLO AVE STE
Practice Address - Street 2:STE 1802 PMB #443755
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510
Practice Address - Country:US
Practice Address - Phone:202-600-5265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDMH0E9D6171400000X
DC171M00000X, 174H00000X
MD942020172V00000X
171W00000X, 171000000X, 103TH0100X
DC766887405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty
No171000000XOther Service ProvidersMilitary Health Care Provider