Provider Demographics
NPI:1174836704
Name:MORGAN LOOK, CATHERINE E (QMHP, QSP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:MORGAN LOOK
Suffix:
Gender:F
Credentials:QMHP, QSP
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:QMHP, QSP
Mailing Address - Street 1:1701 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-4810
Mailing Address - Country:US
Mailing Address - Phone:217-721-3008
Mailing Address - Fax:217-383-0200
Practice Address - Street 1:1701 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-4810
Practice Address - Country:US
Practice Address - Phone:217-721-3008
Practice Address - Fax:217-383-0200
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-25
Last Update Date:2010-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health