Provider Demographics
NPI:1275026023
Name:NORTON, ANNA N (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:N
Last Name:NORTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 ABERCORN AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1614
Mailing Address - Country:US
Mailing Address - Phone:601-540-7660
Mailing Address - Fax:
Practice Address - Street 1:2510 ABERCORN AVE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-1614
Practice Address - Country:US
Practice Address - Phone:601-540-7660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2020-08-21
Deactivation Date:2020-01-03
Deactivation Code:
Reactivation Date:2020-08-21
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
MS235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist