Provider Demographics
NPI:1487964342
Name:NOONE, JOANN (PTA)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:NOONE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 COVERED BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-2878
Mailing Address - Country:US
Mailing Address - Phone:914-953-3468
Mailing Address - Fax:
Practice Address - Street 1:MINISINK VALLEY SCHOOL DISTRICT
Practice Address - Street 2:ROUTE 6
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973
Practice Address - Country:US
Practice Address - Phone:845-355-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002368-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist