Provider Demographics
NPI:1578865838
Name:MORRIS, JOY SUZANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:SUZANNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 N 100 E
Mailing Address - Street 2:P.O. BOX 440219
Mailing Address - City:KOOSHAREM
Mailing Address - State:UT
Mailing Address - Zip Code:84744-7700
Mailing Address - Country:US
Mailing Address - Phone:435-638-7373
Mailing Address - Fax:435-638-1105
Practice Address - Street 1:410 N 100 E
Practice Address - Street 2:
Practice Address - City:KOOSHAREM
Practice Address - State:UT
Practice Address - Zip Code:84744-7700
Practice Address - Country:US
Practice Address - Phone:435-638-7373
Practice Address - Fax:435-638-1105
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT270900-2501103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling