Healthcare Provider Details

I. General information

NPI: 1942312467
Provider Name (Legal Business Name): MORRIS GELBART PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SKYPARK DR STE 200
TORRANCE CA
90505-5035
US

IV. Provider business mailing address

904 SILVER SPUR RD STE 373
ROLLING HILLS ESTATES CA
90274-3991
US

V. Phone/Fax

Practice location:
  • Phone: 310-257-5751
  • Fax:
Mailing address:
  • Phone: 310-257-5751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 6436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: