Provider Demographics
NPI:1518368893
Name:MORHAIME, RICHARD V
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:V
Last Name:MORHAIME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 VASSAR AISLE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-4100
Mailing Address - Country:US
Mailing Address - Phone:949-910-8781
Mailing Address - Fax:
Practice Address - Street 1:5199 E PACIFIC COAST HWY
Practice Address - Street 2:#504
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3309
Practice Address - Country:US
Practice Address - Phone:949-891-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-05
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17438103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical