Provider Demographics
NPI:1952183048
Name:NOBLE, SUSAN M (MA-HWC, NBHWC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:NOBLE
Suffix:
Gender:F
Credentials:MA-HWC, NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 POCONO DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2448
Mailing Address - Country:US
Mailing Address - Phone:443-254-2248
Mailing Address - Fax:
Practice Address - Street 1:26 POCONO DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2448
Practice Address - Country:US
Practice Address - Phone:443-254-2248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA-3715984171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach