MEDICARE: DR. DAPHNE ANN MORGAN-HURST PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1434	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	61-00231	OTHER	CO	EVERCARE

General Provider Information

NPI Number	:	1073731972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAPHNE ANN MORGAN-HURST PH.D.

Provider Business Mailing Address
First Line	:	1227 MILWAUKEE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3341
Country	:	US
Telephone Number	:	303-331-0957
Fax Number	:	303-331-0957

Provider Business Practice Location Address
First Line	:	1227 MILWAUKEE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-3341
Country	:	US
Telephone Number	:	303-331-0957
Fax Number	:	303-331-0957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/08/2007

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