Provider Demographics
NPI:1336465178
Name:MORRIS, WENDY E (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 EVELYN ST
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2965
Mailing Address - Country:US
Mailing Address - Phone:201-265-0555
Mailing Address - Fax:201-265-5559
Practice Address - Street 1:352 EVELYN ST
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2965
Practice Address - Country:US
Practice Address - Phone:201-265-0555
Practice Address - Fax:201-265-5559
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor