Provider Demographics
NPI:1487761516
Name:WESTURN, NORMA M (LPC)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:M
Last Name:WESTURN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 RODALE WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4817
Mailing Address - Country:US
Mailing Address - Phone:972-307-8610
Mailing Address - Fax:214-941-0408
Practice Address - Street 1:3721 RODALE WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4817
Practice Address - Country:US
Practice Address - Phone:972-307-8610
Practice Address - Fax:214-941-0408
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121965-05Medicaid