MEDICARE: DR. NANCY RUTH MORRITT 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	101YP2500X	Professional Counselor	6401004455	MI
2	103TC1900X	Counseling Psychologist	6301008961	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11307328	OTHER		CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891916227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY RUTH MORRITT PSY. D.

Provider Business Mailing Address
First Line	:	1633 PECK ST
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-2530
Country	:	US
Telephone Number	:	231-722-7770
Fax Number	:	231-722-7677

Provider Business Practice Location Address
First Line	:	1633 PECK ST
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-2530
Country	:	US
Telephone Number	:	231-722-7770
Fax Number	:	231-722-7677

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	09/11/2025

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