Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 15688 | CA |
N | 103TC0700X | Clinical Psychologist | 15688 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | 15688 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 15688 | CA |
Y | 103G00000X | Clinical Psychologist | 15688 | CA |
Y | 103TC0700X | Clinical Psychologist | 15688 | CA |
NPI | 1528458957 |
---|---|
Provider Name | Dr. Belinda Morrill |
First Address | Los Osos, CA 93412-7116 |
Second Address | San Luis Obispo, CA 93401-4131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2015 |
Last Update Date | 22/01/2015 |