Provider Demographics
NPI:1457733735
Name:TERRY, MORGHAN
Entity Type:Individual
Prefix:
First Name:MORGHAN
Middle Name:
Last Name:TERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 HAMPTON CIR
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1263
Mailing Address - Country:US
Mailing Address - Phone:215-584-0773
Mailing Address - Fax:267-343-8983
Practice Address - Street 1:1501 LOWER STATE RD
Practice Address - Street 2:BUILDING D, SUITE 200
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1216
Practice Address - Country:US
Practice Address - Phone:215-584-0773
Practice Address - Fax:215-343-8983
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist