Provider Demographics
NPI:1740533801
Name:MORRIS, HEATHER (PSYD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 PENNSYLVANIA ST APT 304
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2087
Mailing Address - Country:US
Mailing Address - Phone:303-489-2633
Mailing Address - Fax:
Practice Address - Street 1:1416 PENNSYLVANIA ST APT 304
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2087
Practice Address - Country:US
Practice Address - Phone:303-489-2633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3714103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical