Healthcare Provider Details

I. General information

NPI: 1497820344
Provider Name (Legal Business Name): MORGAN BRIANNA PEPITON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN BRIANNA SENTELL PSY.D.

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 5TH AVE STE 307
SAN DIEGO CA
92101
US

IV. Provider business mailing address

PO BOX 154103
SAN DIEGO CA
92195-4103
US

V. Phone/Fax

Practice location:
  • Phone: 858-914-1603
  • Fax:
Mailing address:
  • Phone: 619-741-7558
  • Fax: 619-741-7558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY23246
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY23246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: