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NPI Code Detail

MEDICARE: MR. TIMOTHY PATRICK MORRISON LCSW

MEDICARE:  MR. TIMOTHY PATRICK MORRISON  LCSW
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
11041C0700XClinical Social WorkerLCS 22883CA

General Provider Information

NPI Number : 1588862650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY PATRICK MORRISON LCSW
Provider Business Mailing Address
First Line : 8880 CARSON ST
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-2406
Country : US
Telephone Number : 310-699-2841
Fax Number :
Provider Business Practice Location Address
First Line : 8880 CARSON ST
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-2406
Country : US
Telephone Number : 310-699-2841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 07/10/2007

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Directions to “ MR. TIMOTHY PATRICK MORRISON LCSW” Practice Location

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