MEDICARE: DR. ALEXIA BACA MORGAN PHD

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	CA14911	CA

General Provider Information

NPI Number	:	1245327626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIA BACA MORGAN PHD

Provider Business Mailing Address
First Line	:	106 POLLASKY
Second Line	:	A
City	:	CLOVIS
State	:	CA
Zip	:	93612
Country	:	US
Telephone Number	:	559-298-9310
Fax Number	:	559-298-9310

Provider Business Practice Location Address
First Line	:	106 POLLASKY
Second Line	:	A
City	:	CLOVIS
State	:	CA
Zip	:	93612
Country	:	US
Telephone Number	:	559-298-9310
Fax Number	:	559-298-9310

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/21/2026

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