Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 015671-1 | NY |
N | 103T00000X | Psychologist | 015671-1 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 015671-1 | NY |
N | 103TH0100X | Health Service | 015671-1 | NY |
NPI | 1487676300 |
---|---|
Provider Name | Dr. Gayle Morse |
First Address | Albany, NY 12203-1633 |
Second Address | Albany, NY 12203-1633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/07/2007 |