Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301015637 | MI |
NPI | 1063837482 |
---|---|
Provider Name | Julie Norman |
First Address | Detroit, MI 48201-2015 |
Second Address | Detroit, MI 48201-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2014 |
Last Update Date | 21/02/2014 |