Healthcare Provider Details
I. General information
NPI: 1194863365
Provider Name (Legal Business Name): NATALIE MARIE MORROW M.S.,L.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2015 1ST ST S
WILLMAR MN
56201-4299
US
IV. Provider business mailing address
809 27TH AVE SW
WILLMAR MN
56201-5163
US
V. Phone/Fax
- Phone: 320-235-9599
- Fax:
- Phone: 320-231-3802
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | LP3884 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: