Provider Demographics
NPI:1619102969
Name:NORRIS, DONNA MANSOUR (LPA MA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MANSOUR
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LPA MA
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:A
Other - Last Name:MANSOUR NORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1214 SAVANNAH CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5925
Mailing Address - Country:US
Mailing Address - Phone:919-801-8710
Mailing Address - Fax:
Practice Address - Street 1:852 PERRY RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7701
Practice Address - Country:US
Practice Address - Phone:919-446-5670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1941103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist