Provider Demographics
NPI:1760899363
Name:JL NORMAN, INC
Entity Type:Organization
Organization Name:JL NORMAN, INC
Other - Org Name:JAN NORMAN, PSYD, LICENSED PSYCHOLOGIST
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-920-0711
Mailing Address - Street 1:8420 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1302
Mailing Address - Country:US
Mailing Address - Phone:612-508-9985
Mailing Address - Fax:
Practice Address - Street 1:7241 OHMS LN STE 145
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2136
Practice Address - Country:US
Practice Address - Phone:952-920-0711
Practice Address - Fax:952-920-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty