Provider Demographics
NPI:1629266986
Name:MORSE, JOANNA ENGLISH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:ENGLISH
Last Name:MORSE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JOANNA
Other - Middle Name:E
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:4211 POPLAR LEVEL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1597
Mailing Address - Country:US
Mailing Address - Phone:502-208-1678
Mailing Address - Fax:844-273-9970
Practice Address - Street 1:4211 POPLAR LEVEL RD STE 202
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1597
Practice Address - Country:US
Practice Address - Phone:502-208-1678
Practice Address - Fax:844-273-9970
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10395103T00000X
KY129669103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100313580Medicaid
KY7100483870Medicaid