Healthcare Provider Details
I. General information
NPI: 1427272251
Provider Name (Legal Business Name): CATHERINE M. MORRISETT D.MIN.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16 MADISON AVE
MADISON NJ
07940-1433
US
IV. Provider business mailing address
16 MADISON AVE
MADISON NJ
07940-1433
US
V. Phone/Fax
- Phone: 973-822-0707
- Fax: 973-822-2797
- Phone: 973-822-0707
- Fax: 973-822-2797
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: