Provider Demographics
NPI:1942281175
Name:NORRIS PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:NORRIS PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-475-1548
Mailing Address - Street 1:6331 N KEYSTONE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2156
Mailing Address - Country:US
Mailing Address - Phone:317-475-1548
Mailing Address - Fax:317-475-1562
Practice Address - Street 1:6331 N KEYSTONE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2156
Practice Address - Country:US
Practice Address - Phone:317-475-1548
Practice Address - Fax:317-475-1562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty