Doctor Name: | ROBERT MICHAEL NORRIS |
NPI Number: | 1316221039 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 089.0000629 |
Business Practice Address: | 161 Sherman Dr St Johnsbury, VT - 058199811 |
Business Phone Number: | 8027488116 |
Business Fax Number: | |
Mailing Address: | 161 Sherman Dr, ST JOHNSBURY |
State: | VT |
Postal Code: | 058199811 |
Phone Number: | 8027488116 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 09/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089.0000629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |