Healthcare Provider Details

I. General information

NPI: 1407007859
Provider Name (Legal Business Name): ELIZABETH ALEXANDRA MORGAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S ORANGE AVE FL 3
ORLANDO FL
32806-2945
US

IV. Provider business mailing address

1720 S ORANGE AVE FL 3
ORLANDO FL
32806-2945
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5056
  • Fax: 321-843-6777
Mailing address:
  • Phone: 321-841-5056
  • Fax: 321-843-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY7774
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7774
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: