Provider Demographics
NPI:1033222377
Name:CHARLES, NORMA J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:J
Last Name:CHARLES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 NW 36TH CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-4452
Mailing Address - Country:US
Mailing Address - Phone:352-392-1171
Mailing Address - Fax:352-846-1030
Practice Address - Street 1:1 FLETCHER DRIVE
Practice Address - Street 2:UNIVERSITY OF FLORIDA SHCC
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-7500
Practice Address - Country:US
Practice Address - Phone:352-392-1163
Practice Address - Fax:352-846-1030
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6984 AND MH7185103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist