Norton Psychotherapy | |
47 6th St Ste 206 Petaluma CA 94952-3092 | |
(559) 690-4700 | |
(559) 236-6077 |
Full Name | Norton Psychotherapy |
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Speciality | Psychologist |
Location | 47 6th St Ste 206, Petaluma, California |
Authorized Official Name and Position | Brooke K. Norton (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 5596904700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Norton Psychotherapy 47 6th St Ste 206 Petaluma CA 94952-3092 Ph: (559) 690-4700 | Norton Psychotherapy 47 6th St Ste 206 Petaluma CA 94952-3092 Ph: (559) 690-4700 |
NPI Number | 1275164345 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 12/08/2022 |
Certification Date | 12/08/2022 |
Medicare PECOS PAC ID | 3072941756 |
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Medicare Enrollment ID | O20200311000821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275164345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Brooke K Norton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780106948 PECOS PAC ID: 0547533150 Enrollment ID: I20170901002095 |
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