Provider Demographics
NPI:1770889925
Name:NORTON, DEAN EDWARD (MA)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:EDWARD
Last Name:NORTON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 RYE WILDERNESS TRL
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-9461
Mailing Address - Country:US
Mailing Address - Phone:941-776-1777
Mailing Address - Fax:941-766-1777
Practice Address - Street 1:751 RYE WILDERNESS TRL
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-9461
Practice Address - Country:US
Practice Address - Phone:941-776-1777
Practice Address - Fax:941-766-1777
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH-5992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health