MEDICARE: DR. NORNA JULES PSYD

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	103T00000X	Psychologist	35SI00755700	NJ
2	103TC0700X	Clinical Psychologist	35SI00755700	NJ

General Provider Information

NPI Number	:	1518446616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORNA JULES PSYD

Provider Business Mailing Address
First Line	:	PO BOX 17
Second Line	:
City	:	WOOD RIDGE
State	:	NJ
Zip	:	07075-0017
Country	:	US
Telephone Number	:	908-370-5012
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 STATE RT 17 N STE 118
Second Line	:
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1017
Country	:	US
Telephone Number	:	551-996-4450
Fax Number	:	551-996-5729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2018
Last Update Date	:	01/14/2025

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Directions to “ DR. NORNA JULES PSYD” Practice Location

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