Organization Name: | NORTON PSYCHOLOGICAL SERVICES LLC |
NPI Number: | 1053635169 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH R NORTON (OWNER/PRESIDENT) |
Mailing Address: | 128 Newberry Ave Suite 8 Libertyville |
State: | IL US |
Postal Code: | 600481923 |
Phone Number: | 2244061474 |
Fax Number: | 2245134641 |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180006616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |