Doctor Name: | MS. SANDRA CAIN NORMAND |
NPI Number: | 1972888717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4101 |
Business Practice Address: | 820 Jordan St Suite Number 475 Shreveport, LA - 711014518 |
Business Phone Number: | 3186557820 |
Business Fax Number: | 3184248194 |
Mailing Address: | 820 Jordan St, Suite Number 475 SHREVEPORT |
State: | LA |
Postal Code: | 711014518 |
Phone Number: | 3186557820 |
Fax Number: | 3184248194 |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |