Provider Demographics
NPI:1750596003
Name:STANTON, MORRIS DUNCAN (PHD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:DUNCAN
Last Name:STANTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:M
Other - Middle Name:DUNCAN
Other - Last Name:STANTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3017 WICKLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2769
Mailing Address - Country:US
Mailing Address - Phone:502-454-3536
Mailing Address - Fax:502-458-9529
Practice Address - Street 1:3017 WICKLAND ROAD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2769
Practice Address - Country:US
Practice Address - Phone:502-454-3536
Practice Address - Fax:502-458-9529
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY1224103T00000X
NY010941103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist