Healthcare Provider Details

I. General information

NPI: 1073066999
Provider Name (Legal Business Name): JOANNE LOUISE MORRISSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N JAMES RD CHALMERS P. WYLIE VA AMBULATORY CARE CENTER
COLUMBUS OH
43219-1834
US

IV. Provider business mailing address

9243 SHAWNEE TRL
POWELL OH
43065-5013
US

V. Phone/Fax

Practice location:
  • Phone: 614-257-5219
  • Fax: 614-257-5205
Mailing address:
  • Phone: 614-270-1594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: