Severe, Norman Dale

Severe, Norman Dale is an sole proprietor health care provider with primary practice located at 215 9Th St , Del Mar CA 92014-2716. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Severe, Norman Dale can be contacted via phone (858) 864-2422.

Contact Information

Primary practice address
215 9Th St Del Mar CA 92014-2716
Fax: (858) 453-5983
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17478 California

Profile Details

NPI number 1356362909
LBN Legal business name Severe, Norman Dale
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
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 1356362909 NPPES
California MEDICAID PSY174780

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