Healthcare Provider Details

I. General information

NPI: 1801545645
Provider Name (Legal Business Name): SUZETTE DANIELLE NORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W GRIMES LN
BLOOMINGTON IN
47403-3015
US

IV. Provider business mailing address

PO BOX 668
BLOOMINGTON IN
47402-0668
US

V. Phone/Fax

Practice location:
  • Phone: 812-322-0313
  • Fax: 812-610-1814
Mailing address:
  • Phone: 812-322-0313
  • Fax: 812-610-1814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-35330
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: