| Doctor Name: | DR. NORMAN DALE SEVERE |
| NPI Number: | 1356362909 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PSY17478 |
| Business Practice Address: | 215 9th St Del Mar, CA - 920142716 |
| Business Phone Number: | 8588642422 |
| Business Fax Number: | 8584535983 |
| Mailing Address: | 215 9th St, DEL MAR |
| State: | CA |
| Postal Code: | 920142716 |
| Phone Number: | 8588642422 |
| Fax Number: | 8584535983 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY17478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |