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General NPI Number Information
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NPI Number | 1700734878
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Entity Type | Organization
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Legal Business Name | MORGAN SLADE PSYCHOANALYST, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 222 W MAIN ST STE 203
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City | TUSTIN
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State | CA
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Zip | 92780-7704
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Country | US
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Telephone | 213-393-4531
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W MAIN ST STE 203
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City | TUSTIN
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State | CA
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Zip | 92780-7704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STUDENT RESEARCH PSYCHOANALYST
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Name | DR. MORGAN SLADE
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Credential | SRP401
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Telephone | 213-393-4531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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