MEDICARE: MRS. ROBIN KATHLEEN NOALL L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	24502	CA

General Provider Information

NPI Number	:	1831336130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROBIN KATHLEEN NOALL L.C.S.W.

Provider Business Mailing Address
First Line	:	1445 BUTTE HOUSE RD STE J
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-2749
Country	:	US
Telephone Number	:	530-671-5857
Fax Number	:	530-751-9691

Provider Business Practice Location Address
First Line	:	1445 BUTTE HOUSE RD STE J
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-2749
Country	:	US
Telephone Number	:	530-671-5857
Fax Number	:	530-751-9691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2009
Last Update Date	:	01/08/2009

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