Jennifer Noble Psychological Corporation
Clinic/Center, Adolescent and Children Mental Health in Inglewood, CA. Organization (NPI-2).
NPI number1982179933
StatusActive
Last updated in NPPESOct 5, 2018
Details
- NPI
- 1982179933
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer Noble Psychological Corporation
- Organization subpart
- No
- Enumeration date
- Oct 5, 2018
- Last updated
- Oct 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
1316 Centinela AveInglewood, CA 90302-1140
Phone 310-554-8227
Mailing address
10866 Washington Blvd # 191Culver City, CA 90232-3610
Phone 310-554-8227
Authorized official
Jennifer Noble
Clinical Psychologist
3105548227
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