Provider Demographics
NPI:1922293026
Name:MORGAN, TRISTON (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:TRISTON
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 W 575 N
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-5877
Mailing Address - Country:US
Mailing Address - Phone:801-372-7679
Mailing Address - Fax:
Practice Address - Street 1:3549 N UNIVERSITY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4487
Practice Address - Country:US
Practice Address - Phone:801-215-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6176948-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist