Provider Demographics
NPI:1235293895
Name:NORTON, EILEEN K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:K
Last Name:NORTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:EILEEN
Other - Middle Name:K
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:200 GATEWAY DR UNIT 1288
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7052
Mailing Address - Country:US
Mailing Address - Phone:916-354-5547
Mailing Address - Fax:
Practice Address - Street 1:200 GATEWAY DR, #1288
Practice Address - Street 2:#1288
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-9564
Practice Address - Country:US
Practice Address - Phone:916-354-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19240103T00000X, 103TF0000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily