Healthcare Provider Details

I. General information

NPI: 1548748437
Provider Name (Legal Business Name): MORRISON PSYCHOLOGICAL SERVICES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 08/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S MAIN ST
PLAINWELL MI
49080-1776
US

IV. Provider business mailing address

108 S MAIN ST
PLAINWELL MI
49080-1776
US

V. Phone/Fax

Practice location:
  • Phone: 269-377-4181
  • Fax:
Mailing address:
  • Phone: 269-377-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1770061749
Identifier TypeOTHER
Identifier State
Identifier IssuerNPI ENUMERATOR

VIII. Authorized Official

Name: ANGELA K MORRISON
Title or Position: OWNER
Credential: LLP
Phone: 269-377-4181