Provider Demographics
NPI:1972716009
Name:MORRIS, EDWARD FRANKLYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FRANKLYN
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4160 PIEDMONT PKWY STE 207
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8174
Mailing Address - Country:US
Mailing Address - Phone:336-855-4649
Mailing Address - Fax:336-855-4645
Practice Address - Street 1:4160 PIEDMONT PKWY STE 207
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8174
Practice Address - Country:US
Practice Address - Phone:336-855-4649
Practice Address - Fax:336-855-4645
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1310103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical