Healthcare Provider Details

I. General information

NPI: 1265871594
Provider Name (Legal Business Name): STEVEN DOUGLAS MORSE PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1252 ALBANY ST
SCHENECTADY NY
12304-2702
US

IV. Provider business mailing address

190 S MANNING BLVD
ALBANY NY
12208-1814
US

V. Phone/Fax

Practice location:
  • Phone: 518-881-2020
  • Fax:
Mailing address:
  • Phone: 518-275-6707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number011563-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: