Healthcare Provider Details

I. General information

NPI: 1689963167
Provider Name (Legal Business Name): JANICE M MORRIS PHD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 N CAPITAL OF TEXAS HWY STE 305
AUSTIN TX
78759-6374
US

IV. Provider business mailing address

9501 N CAPITAL OF TEXAS HWY STE 305
AUSTIN TX
78759-6374
US

V. Phone/Fax

Practice location:
  • Phone: 512-265-6848
  • Fax: 866-314-1887
Mailing address:
  • Phone: 512-265-6848
  • Fax: 866-314-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number23266
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANICE M MORRIS
Title or Position: OWNER
Credential: PHD
Phone: 512-265-6848