Norville, Roxana Leigh

Norville, Roxana Leigh is an sole proprietor health care provider with primary practice located at 350 2Nd St Suite 4, Los Altos CA 94022-3695. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Norville, Roxana Leigh can be contacted via phone (650) 948-4864.

Contact Information

Primary practice address
350 2Nd St Suite 4 Los Altos CA 94022-3695
Fax: (650) 948-4436
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12118 California

Profile Details

NPI number 1679624142
LBN Legal business name Norville, Roxana Leigh
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679624142 NPPES
California MEDICAID PSY121180
California Other PSY12118

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