Most Relevant Information
Provider Data
| NPI Number: | 1003039736 |
| Provider Name: | JERRY W NOBLE PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 0968 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2000 W 1ST ST
SUITE 510
WINSTON SALEM
NC
271044225
Practice Location Phone/Fax
| Phone: | 3367480809 |
| Fax: | 3367480809 |
Provider Mailing Location
2000 W 1ST ST
SUITE 510
WINSTON SALEM
NC
271044225
Provider Mailing Phone/Fax
| Phone: | 3367480809 |
| Fax: | 3367480809 |