Provider Demographics
NPI:1417502543
Name:DOFT, NORMA LINDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:LINDA
Last Name:DOFT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 CENTRAL PARK W OFC 4A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3021
Mailing Address - Country:US
Mailing Address - Phone:212-787-5046
Mailing Address - Fax:
Practice Address - Street 1:295 CENTRAL PARK W OFC 4A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3021
Practice Address - Country:US
Practice Address - Phone:212-787-5046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006589103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent