=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619279460
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARGARET W MORRIS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/30/2010
-----------------------------------------------------
Last Update Date | 04/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 150 S 600 E STE 1C
-----------------------------------------------------
City | SALT LAKE CITY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84102-1961
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-386-2991
-----------------------------------------------------
Fax | 801-532-2206
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 S 600 E STE 1C
-----------------------------------------------------
City | SALT LAKE CITY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84102-1961
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-386-2991
-----------------------------------------------------
Fax | 801-532-2206
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MARGARET W MORRIS
-----------------------------------------------------
Credential | PHD PLLC
-----------------------------------------------------
Telephone | 801-386-2991
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------