Provider Demographics
NPI:1043242175
Name:MORRISON, JULIE A (PSYD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:MORRISON
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 1:10440 SHAKER DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1200
Mailing Address - Country:US
Mailing Address - Phone:410-952-9574
Mailing Address - Fax:443-403-2354
Practice Address - Street 1:10440 SHAKER DR
Practice Address - Street 2:SUITE 209
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1200
Practice Address - Country:US
Practice Address - Phone:410-952-9574
Practice Address - Fax:443-403-2354
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03375103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical