Provider Demographics
NPI:1972637494
Name:MORGAN & ASSOCIATES PSYCHSERVE, P.C.
Entity Type:Organization
Organization Name:MORGAN & ASSOCIATES PSYCHSERVE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:ANIECE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-660-0776
Mailing Address - Street 1:503 S OAK PARK AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1224
Mailing Address - Country:US
Mailing Address - Phone:708-660-0776
Mailing Address - Fax:
Practice Address - Street 1:503 S OAK PARK AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-1224
Practice Address - Country:US
Practice Address - Phone:708-660-0776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty