Provider Demographics
NPI:1518547611
Name:MORRIS PSYCHOLOGICAL, INC.
Entity Type:Organization
Organization Name:MORRIS PSYCHOLOGICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-375-1776
Mailing Address - Street 1:16 S OAKLAND AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2042
Mailing Address - Country:US
Mailing Address - Phone:626-375-1776
Mailing Address - Fax:626-316-6778
Practice Address - Street 1:16 S OAKLAND AVE STE 208
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2042
Practice Address - Country:US
Practice Address - Phone:626-375-1776
Practice Address - Fax:626-316-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty