Healthcare Provider Details

I. General information

NPI: 1154507846
Provider Name (Legal Business Name): JOHN CHRISTOPHER NOAH JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 NEALY AVE
LANGLEY AFB VA
23665-2040
US

IV. Provider business mailing address

77 NEALY AVE
LANGLEY AFB VA
23665-2005
US

V. Phone/Fax

Practice location:
  • Phone: 757-225-0773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810004461
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: