Healthcare Provider Details

I. General information

NPI: 1134258833
Provider Name (Legal Business Name): THOMAS C NOYES PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7426 US HIGHWAY 42 STE 106
FLORENCE KY
41042-2056
US

IV. Provider business mailing address

7426 US HIGHWAY 42 STE 106
FLORENCE KY
41042-2056
US

V. Phone/Fax

Practice location:
  • Phone: 859-282-0119
  • Fax: 859-282-8018
Mailing address:
  • Phone: 859-282-0119
  • Fax: 859-282-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number129621
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: