MEDICARE: PEGGY ANNE MORRISON MS

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1912229410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY ANNE MORRISON MS

Provider Business Mailing Address
First Line	:	815 N NEVADA AVE
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4726
Country	:	US
Telephone Number	:	719-571-9950
Fax Number	:	719-635-9946

Provider Business Practice Location Address
First Line	:	815 N NEVADA AVE
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4726
Country	:	US
Telephone Number	:	719-571-9950
Fax Number	:	719-635-9946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2010
Last Update Date	:	02/24/2010

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