Healthcare Provider Details

I. General information

NPI: 1558316950
Provider Name (Legal Business Name): KRIS S. MORGAN, PH.D. PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 HARBOR AVE SW #229
SEATTLE WA
98126-2394
US

IV. Provider business mailing address

8600 31ST AVE SW
SEATTLE WA
98126-3717
US

V. Phone/Fax

Practice location:
  • Phone: 206-290-5954
  • Fax: 206-938-4545
Mailing address:
  • Phone: 206-290-5954
  • Fax: 206-938-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY00002016
License Number StateWA

VIII. Authorized Official

Name: DR. KRIS S. MORGAN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 206-290-5954