Deeann Noecker, LPC
Individual provider Active NPI Professional Counselor · Banner, WY
NPI 1750308367 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750308367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- WYLPC360 (WY)
- Practice address
- 41 Pompey Creek Rd
Banner, WY 82832-9720 - Phone
- (307) 683-2565
- Fax
- (307) 683-3415
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WYLPC360 | WY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | WYLPC360 | WY | Yes |
Addresses
Primary practice location
41 Pompey Creek Rd
Banner, WY 82832-9720
Mailing address
41 Pompey Creek Rd
Banner, WY 82832-9720
Phone (307) 683-2565
Other providers in Banner, WY
All providers in Banner, WY · Professional Counselor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.