Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3718-57 | WI |
NPI | 1063053627 |
---|---|
Provider Name | Dr. Lindsey Morrissey |
First Address | Tomah, WI 54660-3105 |
Second Address | Tomah, WI 54660-3105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2019 |
Last Update Date | 19/11/2020 |