Provider Demographics
NPI:1891850848
Name:NORRIS, STUART KENNETH (LMFT)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:KENNETH
Last Name:NORRIS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5919
Mailing Address - Country:US
Mailing Address - Phone:207-626-3234
Mailing Address - Fax:
Practice Address - Street 1:209 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5951
Practice Address - Country:US
Practice Address - Phone:207-215-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMF 1977106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist