Provider Demographics
NPI:1740756154
Name:MORRISON, DENISE (MA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E ESSEX AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1627
Mailing Address - Country:US
Mailing Address - Phone:484-802-8951
Mailing Address - Fax:
Practice Address - Street 1:5720 MEDIA ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19131-3823
Practice Address - Country:US
Practice Address - Phone:484-702-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherOTHER (NON-MEDICARE)