Healthcare Provider Details

I. General information

NPI: 1942777982
Provider Name (Legal Business Name): NESHA MORSE PSYD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 MARQUEZ PL STE D2
SANTA FE NM
87505-1724
US

IV. Provider business mailing address

1010 MARQUEZ PL STE D2
SANTA FE NM
87505-1724
US

V. Phone/Fax

Practice location:
  • Phone: 505-424-4547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NESHA MORSE
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 505-670-7372