Healthcare Provider Details

I. General information

NPI: 1891274635
Provider Name (Legal Business Name): MORRIS CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 08/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1672 W AVENUE J STE 207
LANCASTER CA
93534-2861
US

IV. Provider business mailing address

1672 W AVENUE J STE 207
LANCASTER CA
93534-2861
US

V. Phone/Fax

Practice location:
  • Phone: 661-951-4662
  • Fax:
Mailing address:
  • Phone: 661-951-4662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberPSY18567
License Number StateCA

VIII. Authorized Official

Name: SHEILA MORRIS
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 661-951-4662