Provider Demographics
NPI:1619565249
Name:MORVAN, CECILE IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CECILE
Middle Name:IRENE
Last Name:MORVAN
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 1:183 COPPER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-4701
Mailing Address - Country:US
Mailing Address - Phone:617-388-6838
Mailing Address - Fax:
Practice Address - Street 1:183 COPPER RIDGE LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-4701
Practice Address - Country:US
Practice Address - Phone:617-388-6838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS601071103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical