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NPI Code Detail

MEDICARE: MRS. CORINNA MERRIMAN-MORRIS C.A.G.S.

MEDICARE: MRS. CORINNA MERRIMAN-MORRIS C.A.G.S.
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
1103T00000XPsychologist99MA

General Provider Information

NPI Number : 1841335965
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORINNA MERRIMAN-MORRIS C.A.G.S.
Provider Business Mailing Address
First Line : 90 CENTRAL ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02143-1227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 263 CONCORD AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-1336
Country : US
Telephone Number : 617-909-9702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 06/14/2026

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