Individual
DR. DENNIS KEITH NORMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
5 EMERSON PL, E05 105 PSYCHOLOGY ASSESSMENT CENTER, BOSTON, MA 02114-2240
(617) 726-2977
(617) 724-3726
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516031
—
MA
01
—
723413
TUFTS HEALTH PLAN
MA
01
—
W03225
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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