MEDICARE: WILLIAM R MORROW D.MIN., LMFT

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	106H00000X	Marriage & Family Therapist	MT0656	FL

General Provider Information

NPI Number	:	1316153513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM R MORROW D.MIN., LMFT

Provider Business Mailing Address
First Line	:	536 VAL MAR DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3141
Country	:	US
Telephone Number	:	239-481-6724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 SE 47TH ST
Second Line	:	SUITE F
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9692
Country	:	US
Telephone Number	:	239-549-2232
Fax Number	:

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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