Provider Demographics
NPI:1477798288
Name:MORRIS, PHILLIP EDWARD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:EDWARD
Last Name:MORRIS
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 1:7300 ELDORADO PKWY STE 265
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3590
Mailing Address - Country:US
Mailing Address - Phone:469-714-0100
Mailing Address - Fax:469-714-0102
Practice Address - Street 1:7300 ELDORADO PKWY STE 265
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3590
Practice Address - Country:US
Practice Address - Phone:469-714-0100
Practice Address - Fax:469-714-0102
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36390103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350873101Medicaid
TX350873102OtherMEDICAID CSHCN
TX350873101Medicaid