Provider Demographics
NPI:1235548017
Name:NORRIS, TANDALIA MARIA
Entity Type:Individual
Prefix:MS
First Name:TANDALIA
Middle Name:MARIA
Last Name:NORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 ELDER ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2223
Mailing Address - Country:US
Mailing Address - Phone:805-351-5711
Mailing Address - Fax:
Practice Address - Street 1:1350 ELDER ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2223
Practice Address - Country:US
Practice Address - Phone:805-351-5711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health