Provider Demographics
NPI:1235346107
Name:NORMAN, NANCY MAE (MS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MAE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:MAE
Other - Last Name:ROCHE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:601 W HWY 6 STE 106
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-5592
Mailing Address - Country:US
Mailing Address - Phone:254-776-7744
Mailing Address - Fax:254-751-9211
Practice Address - Street 1:601 W HWY 6 STE 106
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5592
Practice Address - Country:US
Practice Address - Phone:254-776-7744
Practice Address - Fax:254-751-9211
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50604231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist