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Provider Information for 1467724294


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HARVEY NORRIS


Gender: Male

NPI: 1467724294
Last Updated: 2013-05-24
Certification Date:

Details

NameValue
NPI1467724294
Enumeration Date2012-02-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6606 MONROE HWY
BALL, LA 71405-3226
United States

Phone: 850-508-8104 | Fax:866-399-5815
 
Primary Practice Address 2495 SHREVEPORT HWY
BUILDING 3, ROOM 115, SERVICE 122
PINEVILLE, LA 71360-4044
United States

Phone: 800-375-8387 | Fax:866-399-5915
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalFLSW8113