Provider Demographics
NPI:1194932400
Name:POLLARD, NORMAN JAMES (EDD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:JAMES
Last Name:POLLARD
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 STATE ROUTE 244
Mailing Address - Street 2:
Mailing Address - City:ALFRED STATION
Mailing Address - State:NY
Mailing Address - Zip Code:14803-9764
Mailing Address - Country:US
Mailing Address - Phone:607-587-8625
Mailing Address - Fax:
Practice Address - Street 1:733 STATE ROUTE 244
Practice Address - Street 2:
Practice Address - City:ALFRED STATION
Practice Address - State:NY
Practice Address - Zip Code:14803-9764
Practice Address - Country:US
Practice Address - Phone:607-587-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000935-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health