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NPI Code Detail

MEDICARE: DR. MATTHEW TAYLOR MORRIS PH.D.

MEDICARE: DR. MATTHEW TAYLOR MORRIS 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
1101YM0800XMental Health Counselor4035LA

General Provider Information

NPI Number : 1326221433
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW TAYLOR MORRIS PH.D.
Provider Business Mailing Address
First Line : 323 S CLARK ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-6106
Country : US
Telephone Number : 504-655-6008
Fax Number :
Provider Business Practice Location Address
First Line : 137 N CLARK ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5207
Country : US
Telephone Number : 504-655-6008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2007
Last Update Date : 12/11/2007

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