Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS01507 | RI |
Y | 103TC0700X | Clinical Psychologist | PS01507 | RI |
NPI | 1003172586 |
---|---|
Provider Name | Julie Elizabeth Morris |
First Address | Providence, RI 02905-4513 |
Second Address | Providence, RI 02904-2609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2012 |
Last Update Date | 28/12/2015 |