Basic Information
Provider Information
NPI: 1134563646
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: HARVEY
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: PH.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6408 E TANQUE VERDE RD
Address2:  
City: TUCSON
State: AZ
PostalCode: 857153809
CountryCode: US
TelephoneNumber: 5208855558
FaxNumber: 5208855559
Practice Location
Address1: 6408 E TANQUE VERDE RD
Address2:  
City: TUCSON
State: AZ
PostalCode: 857153809
CountryCode: US
TelephoneNumber: 5208855558
FaxNumber: 5208855559
Other Information
ProviderEnumerationDate: 04/26/2013
LastUpdateDate: 05/02/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X4387AZY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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