Provider Demographics
NPI:1750448890
Name:NORTON, STEVEN C (PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:NORTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ELTON HILLS DR NW
Mailing Address - Street 2:#200
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3516
Mailing Address - Country:US
Mailing Address - Phone:507-282-3926
Mailing Address - Fax:
Practice Address - Street 1:12 ELTON HILLS DR NW
Practice Address - Street 2:#200
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3516
Practice Address - Country:US
Practice Address - Phone:507-282-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4468103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic