Provider Demographics
NPI:1790860732
Name:MORRIS, SHEILA DENISE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:DENISE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 W AVENUE J STE 207
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2861
Mailing Address - Country:US
Mailing Address - Phone:661-951-4662
Mailing Address - Fax:661-485-7080
Practice Address - Street 1:1672 W AVENUE J STE 207
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-951-4662
Practice Address - Fax:661-951-9477
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18567103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP18567Medicare UPIN