Doctor Name: | DR. MICHAEL THOMAS MORROW |
NPI Number: | 1013335462 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS017373 |
Business Practice Address: | 319 W Front St Media, PA - 190632340 |
Business Phone Number: | 3027537580 |
Business Fax Number: | |
Mailing Address: | 319 West Front Street, MEDIA |
State: | PA |
Postal Code: | 19063 |
Phone Number: | 3027537580 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PS017373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |