Healthcare Provider Details

I. General information

NPI: 1962500959
Provider Name (Legal Business Name): WILLIAM BARRY NORMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 OVERTON PLZ SUITE 320
FORT WORTH TX
76109-4428
US

IV. Provider business mailing address

4800 OVERTON PLZ SUITE 320
FORT WORTH TX
76109-4428
US

V. Phone/Fax

Practice location:
  • Phone: 817-731-0888
  • Fax: 817-259-1651
Mailing address:
  • Phone: 817-731-0888
  • Fax: 817-259-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2-1556
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2-1556
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number2-1556
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: