Provider Demographics
NPI:1790939080
Name:MORRIS, DANIELLE DENISE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
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 1:466 LANDING RD N
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-1721
Mailing Address - Country:US
Mailing Address - Phone:585-615-2648
Mailing Address - Fax:
Practice Address - Street 1:466 LANDING RD N
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-1721
Practice Address - Country:US
Practice Address - Phone:585-615-2648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013252103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical