MEDICARE: MARGARET W MORRIS PLLC

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		UT

General Provider Information

NPI Number	:	1619279460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET W MORRIS PLLC

Provider Business Mailing Address
First Line	:	150 S 600 E STE 1C
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1961
Country	:	US
Telephone Number	:	801-386-2991
Fax Number	:	801-532-2206

Provider Business Practice Location Address
First Line	:	150 S 600 E STE 1C
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1961
Country	:	US
Telephone Number	:	801-386-2991
Fax Number	:	801-532-2206

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET W MORRIS
Credential	:	PHD PLLC
Telephone Number	:	801-386-2991

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	04/14/2011

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