Provider Demographics
NPI:1174863435
Name:NORMAN, TERRY LYNN (MA, LAMFT)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:LYNN
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6465 WAYZATA BLVD STE 710
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1733
Mailing Address - Country:US
Mailing Address - Phone:651-353-5007
Mailing Address - Fax:
Practice Address - Street 1:6465 WAYZATA BLVD STE 710
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-1733
Practice Address - Country:US
Practice Address - Phone:651-353-5007
Practice Address - Fax:952-920-9323
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist