Provider Demographics
NPI:1518320845
Name:NORBY, TRICIA (LPC)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:NORBY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:WUDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8566 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-9144
Mailing Address - Country:US
Mailing Address - Phone:608-628-7147
Mailing Address - Fax:
Practice Address - Street 1:8566 DAVIS ST
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-9144
Practice Address - Country:US
Practice Address - Phone:608-628-7147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5883101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health