MEDICARE: DR. ELIZABETH MORRIS PSY.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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC0700X	Clinical Psychologist	PSY29617	CA

General Provider Information

NPI Number	:	1679941413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH MORRIS PSY.D.

Provider Business Mailing Address
First Line	:	1891 EFFIE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1711
Country	:	US
Telephone Number	:	323-644-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 E COLORADO BLVD FL 5
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2327
Country	:	US
Telephone Number	:	626-466-9167
Fax Number	:

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

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	05/06/2021

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