Provider Demographics
NPI:1932931854
Name:NOBLE, COURTNEY (PSYD)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:NOBLE
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 1:12112 TOSCANA WAY APT 305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-4166
Mailing Address - Country:US
Mailing Address - Phone:919-410-2372
Mailing Address - Fax:
Practice Address - Street 1:197 PIEDMONT BLVD STE 205B
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1824
Practice Address - Country:US
Practice Address - Phone:919-410-2372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist