Healthcare Provider Details

I. General information

NPI: 1558496331
Provider Name (Legal Business Name): WILLIAM D MORGAN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BIGELOW ST BIGELOW HEALING ARTS
CAMBRIDGE MA
02139
US

IV. Provider business mailing address

25 MAYHEW ST
BOSTON MA
02125
US

V. Phone/Fax

Practice location:
  • Phone: 617-288-9721
  • Fax: 617-576-7435
Mailing address:
  • Phone: 617-282-1228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6219
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: