Dorie Lee Noll
Individual provider Active NPI Developmental Therapist · Saint Louis, MO
NPI 1982806881 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982806881
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4560 Clayton Ave
Saint Louis, MO 63110-1502 - Phone
- (314) 977-0175
- Fax
- (314) 977-0016
- NPI assigned
- Jun 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
4560 Clayton Ave
Saint Louis, MO 63110-1502
Mailing address
4560 Clayton Ave
Saint Louis, MO 63110-1502
Phone (314) 977-0175
Other providers in Saint Louis, MO
- Kara Noland
- Tabitha Nolda
- Lisa Lynette Noldon
- Kathleen A Noles
- Christopher Noll
- Benjamin Nolte
- Hannah Nolte
- Joann Marie Nolte
- Karen Nolte
- Susan Michael Nolte
All providers in Saint Louis, MO · Developmental Therapist in Missouri
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.