Provider Demographics
NPI:1003239898
Name:NORMAN, DENEEN VALERIE (MSQP)
Entity Type:Individual
Prefix:MISS
First Name:DENEEN
Middle Name:VALERIE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MSQP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-2308
Mailing Address - Country:US
Mailing Address - Phone:704-406-9013
Mailing Address - Fax:
Practice Address - Street 1:232 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-2308
Practice Address - Country:US
Practice Address - Phone:704-406-9013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health