Provider Demographics
NPI:1477850733
Name:NORTON, ISABELLA SUZANNE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ISABELLA
Middle Name:SUZANNE
Last Name:NORTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:ISABELL
Other - Middle Name:SUZANNE
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:21059 E COUNTY ROAD 155
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73521-8402
Mailing Address - Country:US
Mailing Address - Phone:580-768-0650
Mailing Address - Fax:
Practice Address - Street 1:21059 E COUNTY ROAD 155
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-8402
Practice Address - Country:US
Practice Address - Phone:580-768-0650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional