Provider Demographics
NPI:1205076999
Name:MORRISON, BRIAN ARTHUR (PHD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ARTHUR
Last Name:MORRISON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2490 HONOLULU AVE
Mailing Address - Street 2:SUITE 135
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1800
Mailing Address - Country:US
Mailing Address - Phone:818-957-7983
Mailing Address - Fax:818-249-1425
Practice Address - Street 1:2490 HONOLULU AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1800
Practice Address - Country:US
Practice Address - Phone:818-957-7983
Practice Address - Fax:818-249-1425
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13751103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist