Provider Demographics
NPI:1033408976
Name:NORRIS, KATRINA ELIZABETH (MHC)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:ELIZABETH
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 THORN AVE
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2600
Mailing Address - Country:US
Mailing Address - Phone:716-662-2040
Mailing Address - Fax:716-662-0019
Practice Address - Street 1:2309 EGGERT RD
Practice Address - Street 2:SUITE 9
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9200
Practice Address - Country:US
Practice Address - Phone:716-831-1856
Practice Address - Fax:716-831-0263
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004917101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health