Provider Demographics
NPI:1609077544
Name:NORMAN, EVELYN D
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:D
Last Name:NORMAN
Suffix:
Gender:F
Credentials:
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Mailing Address - Street 1:6867 SOUTHPOINT DRIVE NORTH
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-226-1297
Mailing Address - Fax:904-262-2417
Practice Address - Street 1:6867 SOUTHPOINT DRIVE NORTH
Practice Address - Street 2:SUITE 101
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-619-6071
Practice Address - Fax:904-212-0309
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2014-01-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist