Provider Demographics
NPI:1245381177
Name:FISHBEIN, MORRIS DANIEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:DANIEL
Last Name:FISHBEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5265 VANCE ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3717
Mailing Address - Country:US
Mailing Address - Phone:303-432-5149
Mailing Address - Fax:303-432-5036
Practice Address - Street 1:5265 VANCE ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3717
Practice Address - Country:US
Practice Address - Phone:303-432-5149
Practice Address - Fax:303-432-5036
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2990103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical