Provider Demographics
NPI:1033477005
Name:MORROW, ADA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ADA
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-3719
Mailing Address - Country:US
Mailing Address - Phone:209-722-1707
Mailing Address - Fax:844-273-2940
Practice Address - Street 1:530 W 21ST ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-3719
Practice Address - Country:US
Practice Address - Phone:209-722-1707
Practice Address - Fax:844-273-2940
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 24953103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical