Provider Demographics
NPI:1942847058
Name:NORRIS, KENDRICK L (PHD)
Entity Type:Individual
Prefix:DR
First Name:KENDRICK
Middle Name:L
Last Name:NORRIS
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 1:60 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2157
Mailing Address - Country:US
Mailing Address - Phone:203-415-0470
Mailing Address - Fax:
Practice Address - Street 1:60 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2157
Practice Address - Country:US
Practice Address - Phone:203-415-0470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst