Provider Demographics
NPI:1881744738
Name:NORFORD, PENNY ALEASE (PHD, LPC)
Entity type:Individual
Prefix:MS
First Name:PENNY
Middle Name:ALEASE
Last Name:NORFORD
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:22943-1701
Mailing Address - Country:US
Mailing Address - Phone:540-456-8460
Mailing Address - Fax:
Practice Address - Street 1:914 E HIGH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4850
Practice Address - Country:US
Practice Address - Phone:434-971-7097
Practice Address - Fax:434-979-1123
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000315101YA0400X
VA0701002744101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional