Provider Demographics
NPI:1689963167
Name:JANICE M MORRIS PHD PC
Entity Type:Organization
Organization Name:JANICE M MORRIS PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-265-6848
Mailing Address - Street 1:9501 N CAPITAL OF TEXAS HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6374
Mailing Address - Country:US
Mailing Address - Phone:512-265-6848
Mailing Address - Fax:866-314-1887
Practice Address - Street 1:9501 N CAPITAL OF TEXAS HWY STE 305
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6374
Practice Address - Country:US
Practice Address - Phone:512-265-6848
Practice Address - Fax:866-314-1887
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANICE M. MORRIS, PHD, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-05
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23266103TC0700X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F49CMedicare PIN