Provider Demographics
NPI:1700199189
Name:NORRIS, RINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RINA
Middle Name:
Last Name:NORRIS
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:PO BOX 1281
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763-1281
Mailing Address - Country:US
Mailing Address - Phone:916-467-7018
Mailing Address - Fax:
Practice Address - Street 1:1192 SUNCAST LN STE 2B
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9330
Practice Address - Country:US
Practice Address - Phone:916-467-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY29533103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist