Provider Demographics
NPI:1720203094
Name:NORRIS, AMANDA KAYE (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:KAYE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 WEST BAY AREA BOULEVARD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546
Mailing Address - Country:US
Mailing Address - Phone:281-480-0200
Mailing Address - Fax:281-480-0202
Practice Address - Street 1:1560 W BAY AREA BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2667
Practice Address - Country:US
Practice Address - Phone:281-480-0200
Practice Address - Fax:281-480-0202
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30931103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical