Healthcare Provider Details

I. General information

NPI: 1891740197
Provider Name (Legal Business Name): KRIS S. MORGAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 31ST AVE SW
SEATTLE WA
98126-3717
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:
Title or Position:
Credential:
Phone: