Provider Demographics
NPI:1578179347
Name:MCMORRAN, BRUCE JAMES (MA)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:JAMES
Last Name:MCMORRAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 E WARNER RD STE 127
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3057
Mailing Address - Country:US
Mailing Address - Phone:480-632-5800
Mailing Address - Fax:480-545-2870
Practice Address - Street 1:690 E WARNER RD STE 127
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3057
Practice Address - Country:US
Practice Address - Phone:480-632-5800
Practice Address - Fax:480-545-2870
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health