Healthcare Provider Details

I. General information

NPI: 1497899520
Provider Name (Legal Business Name): CAROLYN MORGAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLYN MORGAN HAFEZ

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 TEMPLE ST SUITE 105
NASHUA NH
03060
US

IV. Provider business mailing address

30 TEMPLE ST SUITE 105
NASHUA NH
03060
US

V. Phone/Fax

Practice location:
  • Phone: 603-880-9880
  • Fax: 603-880-9880
Mailing address:
  • Phone: 603-880-9880
  • Fax: 603-880-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number516
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: