Individual
NORMA BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
668 BLACKBIRD LANDING RD, TOWNSEND, DE 19734-9139
(302) 602-0787
Mailing address
668 BLACKBIRD LANDING RD, TOWNSEND, DE 19734-9139
(302) 602-0787
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000625
—
DE
Enumeration date
10/14/2020
Last updated
10/14/2020
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