Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 35S100210200 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35S100210200 | NJ |
NPI | 1013049493 |
---|---|
Provider Name | Dr. Joan Glass Morgan |
First Address | Summit, NJ 07901-2155 |
Second Address | Summit, NJ 07901-2155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2007 |
Last Update Date | 08/07/2007 |