Provider Demographics
NPI:1144488792
Name:NOONAN, BRIGID MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:BRIGID
Middle Name:MARIE
Last Name:NOONAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BRIGID
Other - Middle Name:MARIE
Other - Last Name:NOONAN-KLIMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:4012 KENNEDY STREET
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-1735
Mailing Address - Country:US
Mailing Address - Phone:443-497-3700
Mailing Address - Fax:321-939-7606
Practice Address - Street 1:800 CELEBRATION AVE STE 304
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5155
Practice Address - Country:US
Practice Address - Phone:321-939-7615
Practice Address - Fax:321-939-7606
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health