Provider Demographics
NPI:1689800039
Name:ENGLISH, NORMA GAYLE (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:GAYLE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:GAYLE
Other - Last Name:DOUGLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 WYNCREST DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4408
Mailing Address - Country:US
Mailing Address - Phone:314-809-8961
Mailing Address - Fax:
Practice Address - Street 1:301 SOVEREIGN CT
Practice Address - Street 2:SUITE 211
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4441
Practice Address - Country:US
Practice Address - Phone:314-809-8961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009000990101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional