Provider Demographics
NPI:1346455219
Name:MORIN, JOHN WHITNEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WHITNEY
Last Name:MORIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8461 NW 52ND PL
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2842
Mailing Address - Country:US
Mailing Address - Phone:954-752-2245
Mailing Address - Fax:954-755-6387
Practice Address - Street 1:5950 W OAKLAND PARK BLVD
Practice Address - Street 2:STE. # 107
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1238
Practice Address - Country:US
Practice Address - Phone:954-735-6240
Practice Address - Fax:954-735-6240
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 4987103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical