Provider Demographics
NPI:1578542940
Name:NORTON, DORA LOUISE (MD)
Entity Type:Individual
Prefix:MRS
First Name:DORA
Middle Name:LOUISE
Last Name:NORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 BAKER BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3601
Mailing Address - Country:US
Mailing Address - Phone:330-864-6331
Mailing Address - Fax:330-572-0639
Practice Address - Street 1:63 BAKER BLVD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3601
Practice Address - Country:US
Practice Address - Phone:330-864-6331
Practice Address - Fax:330-572-0639
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4983981-12052084P0800X, 2084P0804X
OH35.0888672084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry