MEDICARE: J. MICHAEL MORGAN, PH.D., P.C.

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

General Provider Information

NPI Number	:	1629461421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. MICHAEL MORGAN, PH.D., P.C.

Provider Business Mailing Address
First Line	:	430 N TUCSON BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-4745
Country	:	US
Telephone Number	:	520-325-4837
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 N TUCSON BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-4745
Country	:	US
Telephone Number	:	520-325-4837
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. J. MICHAEL MORGAN
Credential	:	PH.D.
Telephone Number	:	520-325-4837

Provider Enumeration Date	:	03/18/2015
Last Update Date	:	03/18/2015

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