Doctor Name: | MR. ROBERT LEO NORMAN |
NPI Number: | 1679642631 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LCPC, CADC |
License Number: | N655-0005-7710 |
Business Practice Address: | 826 Mary Byrne Dr Sauk Village, IL - 604115080 |
Business Phone Number: | 7087052211 |
Business Fax Number: | |
Mailing Address: | 826 Mary Byrne Dr, SAUK VILLAGE |
State: | IL |
Postal Code: | 604115080 |
Phone Number: | 7087052211 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | N655-0005-7710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |