Provider Demographics
NPI:1114523123
Name:MORGAN, CHELSEY (PHD)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:MORGAN
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 1:23 W CENTRAL ENTRANCE # 426
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-3433
Mailing Address - Country:US
Mailing Address - Phone:218-451-2497
Mailing Address - Fax:
Practice Address - Street 1:130 W SUPERIOR ST STE 630
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-4030
Practice Address - Country:US
Practice Address - Phone:218-451-2497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
-OtherN/A