Provider Demographics
NPI:1497820344
Name:PEPITON, MORGAN BRIANNA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:BRIANNA
Last Name:PEPITON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:BRIANNA
Other - Last Name:SENTELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 154103
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92195-4103
Mailing Address - Country:US
Mailing Address - Phone:619-741-7558
Mailing Address - Fax:619-741-7558
Practice Address - Street 1:835 5TH AVE STE 307
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:858-914-1603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23246103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic