Provider Demographics
NPI:1144432386
Name:WOERLE, NORMAN F (PSYD)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:F
Last Name:WOERLE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 443
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-0443
Mailing Address - Country:US
Mailing Address - Phone:989-463-5031
Mailing Address - Fax:989-466-2043
Practice Address - Street 1:7820 N. ALGER ROAD
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-9321
Practice Address - Country:US
Practice Address - Phone:989-463-5031
Practice Address - Fax:989-466-2043
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301003245103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist