Provider Demographics
NPI:1740300151
Name:MORRISON, KERRY M (PSY D)
Entity type:Individual
Prefix:DR
First Name:KERRY
Middle Name:M
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ATHOL RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01378-9302
Mailing Address - Country:US
Mailing Address - Phone:978-544-7158
Mailing Address - Fax:
Practice Address - Street 1:489 BERNARDSTON RD
Practice Address - Street 2:SUITE 203
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1234
Practice Address - Country:US
Practice Address - Phone:978-855-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7582103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical