Provider Demographics
NPI:1679227243
Name:NORMAN, DANIELLE A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:A
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 1:1732A MARSH RD STE 177
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4606
Mailing Address - Country:US
Mailing Address - Phone:302-499-2954
Mailing Address - Fax:
Practice Address - Street 1:1732A MARSH RD STE 177
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4606
Practice Address - Country:US
Practice Address - Phone:302-499-2954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00695200103TC0700X
DEB1-0011400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical