Provider Demographics
NPI:1851698096
Name:NORMAN, GIOVANDA D (PHD)
Entity Type:Individual
Prefix:DR
First Name:GIOVANDA
Middle Name:D
Last Name:NORMAN
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 1:7211 JOSHUA LN STE 3
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-2956
Mailing Address - Country:US
Mailing Address - Phone:760-899-0059
Mailing Address - Fax:760-821-0158
Practice Address - Street 1:7211 JOSHUA LN STE 3
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-2956
Practice Address - Country:US
Practice Address - Phone:760-899-0059
Practice Address - Fax:760-821-0158
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist