Doctor Name: | DR. CLIFFORD O MORGAN |
NPI Number: | 1144345109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | 174 |
Business Practice Address: | 119 Telles St Sw Los Lunas, NM - 870318518 |
Business Phone Number: | 5058657100 |
Business Fax Number: | 5058657100 |
Mailing Address: | 119 Telles St Sw, P.o. Boc 1757 LOS LUNAS |
State: | NM |
Postal Code: | 870318518 |
Phone Number: | 5058657100 |
Fax Number: | 5058657100 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |