MEDICARE: DR. ROBIN MORGAN 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	103TC0700X	Clinical Psychologist	4368	AZ
2	103TF0200X	Forensic Psychologist	36602	TX
3	103TC0700X	Clinical Psychologist	36602	TX

General Provider Information

NPI Number	:	1891843355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN MORGAN PSY.D.

Provider Business Mailing Address
First Line	:	1201 AVENUE B
Second Line	:	APT 1012
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-2300
Country	:	US
Telephone Number	:	323-481-3389
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 AVENUE B
Second Line	:	APT 1012
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-2300
Country	:	US
Telephone Number	:	323-481-3389
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	10/17/2016

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