Provider Demographics
NPI:1194984955
Name:NOE, SHARI LYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:LYNN
Last Name:NOE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 WYMAN STREET
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468
Mailing Address - Country:US
Mailing Address - Phone:617-969-7891
Mailing Address - Fax:
Practice Address - Street 1:91 WYMAN ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:WABAN
Practice Address - State:MA
Practice Address - Zip Code:02468-1529
Practice Address - Country:US
Practice Address - Phone:617-969-7891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8232103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical