Healthcare Provider Details

I. General information

NPI: 1831395136
Provider Name (Legal Business Name): STANLEY J MORSE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 HARLAND RD
WALTHAM MA
02453-7613
US

IV. Provider business mailing address

PO BOX 541056
WALTHAM MA
02454-1056
US

V. Phone/Fax

Practice location:
  • Phone: 781-354-4897
  • Fax: 781-207-8456
Mailing address:
  • Phone: 781-354-4897
  • Fax: 781-207-8456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4140
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: