Healthcare Provider Details

I. General information

NPI: 1063579217
Provider Name (Legal Business Name): DAVID T MORGAN PHD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 01/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 NE ANDRESEN RD STE D4
VANCOUVER WA
98661-7342
US

IV. Provider business mailing address

2700 NE ANDRESEN RD STE D4
VANCOUVER WA
98661-7342
US

V. Phone/Fax

Practice location:
  • Phone: 360-828-0119
  • Fax: 360-597-4856
Mailing address:
  • Phone: 360-828-0119
  • Fax: 360-597-4856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY2565
License Number StateWA

VIII. Authorized Official

Name: DR. DAVID T MORGAN
Title or Position: PRESIDENT
Credential: PHD
Phone: 360-828-0119