Provider Demographics
NPI:1376858803
Name:MORGAN, HARRY LEON (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LEON
Last Name:MORGAN
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 1:825 4TH ST W
Mailing Address - Street 2:SUITE 1-B
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5013
Mailing Address - Country:US
Mailing Address - Phone:941-729-6600
Mailing Address - Fax:941-729-6600
Practice Address - Street 1:825 4TH ST W
Practice Address - Street 2:SUITE 1-B
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5013
Practice Address - Country:US
Practice Address - Phone:941-729-6600
Practice Address - Fax:941-729-6600
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH6783101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health