Provider Demographics
NPI:1376503219
Name:MCBEE, NORLYDIA F (PHD)
Entity type:Individual
Prefix:DR
First Name:NORLYDIA
Middle Name:F
Last Name:MCBEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NORLYDIA
Other - Middle Name:L
Other - Last Name:FULBRIGHT-SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:115 E MAIN ST STE A1B
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5727
Mailing Address - Country:US
Mailing Address - Phone:770-834-0995
Mailing Address - Fax:770-834-0935
Practice Address - Street 1:115 E MAIN ST STE A1B
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5727
Practice Address - Country:US
Practice Address - Phone:770-834-0995
Practice Address - Fax:770-834-0935
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002727103TC0700X
GAPSY002727103TC0700X, 103T00000X
103TH0004X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
GU277723561BMedicaid
GA277723561BMedicaid
GA277723561BMedicaid