Dr Randy V Noble, PSYD | |
100 S Prewitt St, Nevada, MO 64772-1760 | |
(417) 667-8700 | |
(417) 667-7382 |
Full Name | Dr Randy V Noble |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 100 S Prewitt St, Nevada, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811971336 | NPI | - | NPPES |
493245401 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 01503 (Missouri) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy V Noble, PSYD 100 S Prewitt St, Nevada, MO 64772-1760 Ph: (417) 667-8700 | Dr Randy V Noble, PSYD 100 S Prewitt St, Nevada, MO 64772-1760 Ph: (417) 667-8700 |
Dr. Robert Jeffery Mitchell Sr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 319 N Osage Blvd, Nevada, MO 64772 Phone: 417-667-3031 Fax: 417-667-3938 | |
Dr. Robert Ingegneri, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 | |
Catherine M Hissink, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 | |
Dr. Patricia E Bridgewater, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1819 West Austin, Suite C, Nevada, MO 64772 Phone: 417-283-6151 Fax: 417-283-6152 | |
Dr. Cathy A Bofetta, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 | |
Cody Lee Bond, PSY.D., LCP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 320 Mac Blvd, Nevada, MO 64772 Phone: 888-403-1071 | |
Dr. Sharon West Lansing, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 |