Provider Demographics
NPI:1497722730
Name:NORMAN, JANET LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYNN
Last Name:NORMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 LITTLE ROAD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437
Mailing Address - Country:US
Mailing Address - Phone:612-508-9985
Mailing Address - Fax:
Practice Address - Street 1:7241 OHMS LN
Practice Address - Street 2:SUITE 145
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2135
Practice Address - Country:US
Practice Address - Phone:952-920-0711
Practice Address - Fax:952-920-0716
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4260103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical