Provider Demographics
NPI:1891034948
Name:MORGAN, DEBRA MATSUYE (PT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:MATSUYE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 JAY AVE
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2828
Mailing Address - Country:US
Mailing Address - Phone:805-551-5476
Mailing Address - Fax:
Practice Address - Street 1:1191 JAY AVE
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2828
Practice Address - Country:US
Practice Address - Phone:805-551-5476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-10
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20837167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician