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NPI Code Detail

MEDICARE: DR. MORGAN JANAY PELL PSYD

MEDICARE: DR. MORGAN JANAY PELL PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071.011195IL
2103TC0700XClinical Psychologist6301019826MI

General Provider Information

NPI Number : 1023862695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MORGAN JANAY PELL PSYD
Provider Business Mailing Address
First Line : 10 PETERBORO ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 PETERBORO ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2722
Country : US
Telephone Number : 313-831-3160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2024
Last Update Date : 05/28/2026

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