Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 973493072501 | UT |
N | 103TC0700X | Clinical Psychologist | 973493072501 | UT |
N | 102L00000X | Psychologist | 973493072501 | UT |
N | 103T00000X | Psychologist | 973493072501 | UT |
Y | 103G00000X | Clinical Psychologist | 973493072501 | UT |
Y | 103TC0700X | Clinical Psychologist | 973493072501 | UT |
N | 103TF0000X | Family Psychologist | 973493072501 | UT |
N | 103TH0100X | Health Service | 973493072501 | UT |
N | 103TR0400X | Rehabilitation Psychologist | 973493072501 | UT |
NPI | 1245299056 |
---|---|
Provider Name | Dr. Anthony Carl Morrison |
First Address | Lees Summit, MO 64064-2499 |
Second Address | Salt Lake City, UT 84106-1429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 04/03/2021 |