Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS015341 | PA |
Y | 103TC0700X | Clinical Psychologist | PS015341 | PA |
NPI | 1003081639 |
---|---|
Provider Name | Dr. Alan G. Morse |
First Address | Malvern, PA 19355-3091 |
Second Address | Malvern, PA 19355-3091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 24/04/2008 |