Provider Demographics
NPI:1093798191
Name:MORSE, NANCY L (MA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:MORSE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3025
Mailing Address - Country:US
Mailing Address - Phone:978-443-0998
Mailing Address - Fax:508-620-0088
Practice Address - Street 1:321 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3025
Practice Address - Country:US
Practice Address - Phone:978-443-0998
Practice Address - Fax:508-620-0088
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health