Healthcare Provider Details

I. General information

NPI: 1235293895
Provider Name (Legal Business Name): EILEEN K NORTON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EILEEN K NORTON PSY.D.

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 10/19/2024
Certification Date: 10/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GATEWAY DR, #1288 #1288
LINCOLN CA
95648-9564
US

IV. Provider business mailing address

200 GATEWAY DR UNIT 1288
LINCOLN CA
95648-7052
US

V. Phone/Fax

Practice location:
  • Phone: 916-354-5547
  • Fax:
Mailing address:
  • Phone: 916-354-5547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY19240
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY19240
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY19240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: