Provider Demographics
NPI:1033251079
Name:MORROW, KATHY A (PHD,LP,LMSW)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:A
Last Name:MORROW
Suffix:
Gender:F
Credentials:PHD,LP,LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25882 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE L3
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1292
Mailing Address - Country:US
Mailing Address - Phone:248-471-9644
Mailing Address - Fax:248-471-9655
Practice Address - Street 1:25882 ORCHARD LAKE RD
Practice Address - Street 2:SUITE L3
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1292
Practice Address - Country:US
Practice Address - Phone:248-471-9644
Practice Address - Fax:248-471-9655
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011558103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI163487OtherVALUE OPTIONS
MI47452600OtherMAGELLAN