Provider Demographics
NPI:1467615856
Name:MORGAN, THOMAS JAMES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08542-6904
Mailing Address - Country:US
Mailing Address - Phone:609-252-9718
Mailing Address - Fax:609-252-0202
Practice Address - Street 1:43 SPRING ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-6904
Practice Address - Country:US
Practice Address - Phone:609-252-9718
Practice Address - Fax:609-252-0202
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00341700103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ686062Medicare PIN