Provider Demographics
NPI:1609097724
Name:MORRIS, MARGARET ALYSE (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALYSE
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 1:1001 GRANDVIEW
Mailing Address - Street 2:#107
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660
Mailing Address - Country:US
Mailing Address - Phone:847-431-0918
Mailing Address - Fax:
Practice Address - Street 1:500 EAST VETERANS STREET
Practice Address - Street 2:BLDG. 404, SUITE 1459
Practice Address - City:TOMAH
Practice Address - State:WI
Practice Address - Zip Code:54660
Practice Address - Country:US
Practice Address - Phone:608-372-1761
Practice Address - Fax:608-372-1203
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling