Provider Demographics
NPI:1831280254
Name:MORRISON, CARMEN RANALLI (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:RANALLI
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HAWTHORNE LN
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-8177
Mailing Address - Country:US
Mailing Address - Phone:610-689-4830
Mailing Address - Fax:
Practice Address - Street 1:MONTGOMERY AVENUE AND FIFTH AVENUE
Practice Address - Street 2:SUITE 105-B
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512
Practice Address - Country:US
Practice Address - Phone:610-906-3404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008248L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical