Doctor Name: | MR. THOMAS GORDAN MORGAN |
NPI Number: | 1639182512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 34004797A |
Business Practice Address: | 3734 N 600 W Montezuma, IN - 478628022 |
Business Phone Number: | 7652451413 |
Business Fax Number: | 7652451324 |
Mailing Address: | 3734 N 600 W, MONTEZUMA |
State: | IN |
Postal Code: | 478628022 |
Phone Number: | 7652451413 |
Fax Number: | 7652451324 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34004797A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |