Provider Demographics
NPI:1578734372
Name:MORSE, DEIRDRE PATRICK (PHD)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:PATRICK
Last Name:MORSE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DEIRDRE
Other - Middle Name:CATHLEEN
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2655 MONTROSE PLACE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105
Mailing Address - Country:US
Mailing Address - Phone:805-965-7730
Mailing Address - Fax:805-569-6965
Practice Address - Street 1:2655 MONTROSE PLACE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-965-7730
Practice Address - Fax:805-569-6965
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACP13752103T00000X
CAPSY13752103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP13752Medicare PIN