Provider Demographics
NPI:1033714472
Name:MORRIS, JOEL R
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:R
Last Name:MORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 INDUSTRIAL WAY
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2194
Mailing Address - Country:US
Mailing Address - Phone:603-458-7913
Mailing Address - Fax:603-458-7915
Practice Address - Street 1:9 INDUSTRIAL WAY
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811-2194
Practice Address - Country:US
Practice Address - Phone:603-458-7913
Practice Address - Fax:603-458-7915
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7737261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities