Provider Demographics
NPI:1124180187
Name:MORRIS PSYCHOLOGICAL GROUP, PA
Entity Type:Organization
Organization Name:MORRIS PSYCHOLOGICAL GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREUNDLICH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-257-9000
Mailing Address - Street 1:50 CHERRY HILL RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1113
Mailing Address - Country:US
Mailing Address - Phone:973-257-9000
Mailing Address - Fax:973-257-0506
Practice Address - Street 1:50 CHERRY HILL RD
Practice Address - Street 2:SUITE 305
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1113
Practice Address - Country:US
Practice Address - Phone:973-257-9000
Practice Address - Fax:973-257-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ079410Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER