Provider Demographics
NPI:1326274911
Name:MORRIS, KRISTY LAUREN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:LAUREN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KRIS
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:4916 W ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1520
Mailing Address - Country:US
Mailing Address - Phone:301-300-3041
Mailing Address - Fax:
Practice Address - Street 1:1555 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 200E
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1111
Practice Address - Country:US
Practice Address - Phone:202-559-5647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2016-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000863103TC0700X
VA0810004542103TC0700X
MD04709103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical