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General NPI Number Information
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NPI Number | 1285161208
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Entity Type | Organization
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Legal Business Name | MELISSA V. MORRIS AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 6000 LAUREL BOWIE RD # 209D
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City | BOWIE
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State | MD
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Zip | 20715-4000
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Country | US
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Telephone | 301-922-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 16407 EURO CT
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City | BOWIE
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State | MD
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Zip | 20716-3903
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Country | US
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Telephone | 301-922-6407
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MELISSA VANESSA MORRIS
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Credential | PH.D.
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Telephone | 301-922-6407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 05263
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License Number State | MD
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