Provider Demographics
NPI:1982742011
Name:NOEL, NANCY LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LYNN
Last Name:NOEL
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 1:6768 PASEO DEL VIS
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6010
Mailing Address - Country:US
Mailing Address - Phone:714-680-0838
Mailing Address - Fax:714-632-0549
Practice Address - Street 1:6768 PASEO DEL VIS
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-6010
Practice Address - Country:US
Practice Address - Phone:714-680-0838
Practice Address - Fax:714-632-0549
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 8298103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP8298Medicare ID - Type Unspecified