Provider Demographics
NPI:1164705687
Name:MORRAY, ELISABETH BROOKER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:BROOKER
Last Name:MORRAY
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:165 DARTMOUTH ST
Mailing Address - Street 2:HARVARD VANGUARD MEDICAL ASSOCIATES COPLEY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5123
Mailing Address - Country:US
Mailing Address - Phone:617-859-5170
Mailing Address - Fax:617-859-5150
Practice Address - Street 1:165 DARTMOUTH ST
Practice Address - Street 2:HARVARD VANGUARD MEDICAL ASSOCIATES COPLEY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5123
Practice Address - Country:US
Practice Address - Phone:617-859-5170
Practice Address - Fax:617-859-5150
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA9923103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist