Doctor Name: | JULIE ELIZABETH MORRIS |
NPI Number: | 1003172586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PS01507 |
Business Practice Address: | 146 W River St Suite 11a Providence, RI - 029042609 |
Business Phone Number: | 4017938770 |
Business Fax Number: | 4017938709 |
Mailing Address: | 117 Ellenfield St # 101, PROVIDENCE |
State: | RI |
Postal Code: | 029054513 |
Phone Number: | 4014446779 |
Fax Number: | 4014446912 |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS01507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |