Provider Demographics
NPI:1073022893
Name:MORRISON, MARYLEE ASHLEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARYLEE
Middle Name:ASHLEY
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 L ST NE APT 1114
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2073
Mailing Address - Country:US
Mailing Address - Phone:706-424-8652
Mailing Address - Fax:
Practice Address - Street 1:420 RIDGE ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4622
Practice Address - Country:US
Practice Address - Phone:202-743-3889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1001293103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling