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General NPI Number Information
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NPI Number | 1932449840
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Entity Type | Individual
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Provider Name | ISABELLE ECCLES MORLEY PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 12 ALFRED ST STE 200
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City | WOBURN
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State | MA
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Zip | 01801-1915
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Country | US
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Telephone | 781-646-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ALFRED ST STE 200
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City | WOBURN
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State | MA
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Zip | 01801-1915
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Country | US
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Telephone | 781-646-0500
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10364
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License Number State | MA
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