Provider Demographics
NPI:1669428207
Name:NORRIS, MARGARET P (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:P
Last Name:NORRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 HARTWICK CIR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-2340
Mailing Address - Country:US
Mailing Address - Phone:979-255-2281
Mailing Address - Fax:720-494-1383
Practice Address - Street 1:2805 HARTWICK CIR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-2340
Practice Address - Country:US
Practice Address - Phone:979-255-2281
Practice Address - Fax:720-494-1383
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24743103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0361255-01Medicaid
TXS10251Medicare UPIN
TX0361255-01Medicaid