Provider Demographics
NPI:1093870941
Name:NORMAN, CELESTE (BACHELORS OF SCIENCE)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:NORMAN
Suffix:
Gender:F
Credentials:BACHELORS OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 68TH ST
Mailing Address - Street 2:UNIT H
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-1700
Mailing Address - Country:US
Mailing Address - Phone:619-698-5875
Mailing Address - Fax:
Practice Address - Street 1:4950 68TH ST
Practice Address - Street 2:UNIT H
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-1700
Practice Address - Country:US
Practice Address - Phone:619-698-5875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health