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NPI Code Detail

MEDICARE: MR. PAUL EVERETT NORRIS III LSW

MEDICARE:  MR. PAUL EVERETT NORRIS III LSW
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
1101YM0800XMental Health Counselor33008595AIN

General Provider Information

NPI Number : 1093380560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL EVERETT NORRIS III LSW
Provider Business Mailing Address
First Line : 7028 AMERICAN WAY APT B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-2643
Country : US
Telephone Number : 317-603-1725
Fax Number :
Provider Business Practice Location Address
First Line : 7028 AMERICAN WAY APT B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-2643
Country : US
Telephone Number : 317-603-1725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 05/26/2021

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Directions to “ MR. PAUL EVERETT NORRIS III LSW” Practice Location

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