Provider Demographics
NPI:1093735045
Name:SCOTT-MORROW, LEESA CELESTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEESA
Middle Name:CELESTE
Last Name:SCOTT-MORROW
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 1:5331 EMERSON AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1112
Mailing Address - Country:US
Mailing Address - Phone:612-618-9670
Mailing Address - Fax:612-371-1673
Practice Address - Street 1:5331 EMERSON AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-1112
Practice Address - Country:US
Practice Address - Phone:612-618-9670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4836103TC0700X
TX33052103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical