Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY 23044 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 23044 | CA |
NPI | 1003137654 |
---|---|
Provider Name | Dr. David Alan Morrison |
First Address | Thousand Oaks, CA 91360-4231 |
Second Address | Thousand Oaks, CA 91360-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2010 |
Last Update Date | 17/06/2010 |