Provider Demographics
NPI:1467696559
Name:PORTNOY, NORMAN W (PHD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:W
Last Name:PORTNOY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S STEELE ST
Mailing Address - Street 2:SUITE 770
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2805
Mailing Address - Country:US
Mailing Address - Phone:303-333-5003
Mailing Address - Fax:
Practice Address - Street 1:50 S STEELE ST
Practice Address - Street 2:SUITE 770
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2805
Practice Address - Country:US
Practice Address - Phone:303-333-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO282103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical