Healthcare Provider Details

I. General information

NPI: 1750993929
Provider Name (Legal Business Name): MICHELLE M. MORROW PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 COURT ST STE 210
EXETER NH
03833-2745
US

IV. Provider business mailing address

5 BENNETT WAY APT 9
NEWMARKET NH
03857-2362
US

V. Phone/Fax

Practice location:
  • Phone: 603-242-2296
  • Fax:
Mailing address:
  • Phone: 347-248-2375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1362
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: