Healthcare Provider Details

I. General information

NPI: 1245516822
Provider Name (Legal Business Name): LEELA MORROW PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2011
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 CIVIC CENTER BLVD
PHILADELPHIA PA
19104-4319
US

IV. Provider business mailing address

301 LINDENWOOD DR SUITE 350
MALVERN PA
19355-1758
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-7555
  • Fax: 215-590-4251
Mailing address:
  • Phone: 215-590-2897
  • Fax: 215-590-0325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS017033
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: