Provider Demographics
NPI:1154185668
Name:ANA E. NOLES, PSY.D, A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:ANA E. NOLES, PSY.D, A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NOLES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-847-6502
Mailing Address - Street 1:582 MARKET ST STE 507
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5306
Mailing Address - Country:US
Mailing Address - Phone:510-496-6066
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 507
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5306
Practice Address - Country:US
Practice Address - Phone:510-496-6066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health