Healthcare Provider Details

I. General information

NPI: 1871318964
Provider Name (Legal Business Name): MORGAN HERBER PSYD, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN JOHNSON PSYD, NCSP

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 TECHNOLOGY WAY STE 320
LIBERTYVILLE IL
60048-5364
US

IV. Provider business mailing address

900 TECHNOLOGY WAY STE 320
LIBERTYVILLE IL
60048-5364
US

V. Phone/Fax

Practice location:
  • Phone: 847-680-2715
  • Fax: 847-680-3832
Mailing address:
  • Phone: 847-680-2715
  • Fax: 847-680-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071011341
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number67380
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: