MEDICARE: NORUM ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	064	WV

General Provider Information

NPI Number	:	1841418183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORUM ASSOCIATES

Provider Business Mailing Address
First Line	:	1005 QUINCY ST
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-4809
Country	:	US
Telephone Number	:	304-485-8167
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 QUINCY ST
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26101-4809
Country	:	US
Telephone Number	:	304-485-8167
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GARY A NORUM
Credential	:	PH.D.
Telephone Number	:	304-485-8167

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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