Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 071.007481 | IL |
Y | 103TC1900X | Counseling Psychologist | PSY24541 | CA |
NPI | 1073199543 |
---|---|
Provider Name | Melissa Lynne Morgan |
First Address | Santa Barbara, CA 93101-1926 |
Second Address | Santa Barbara, CA 93108-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2021 |
Last Update Date | 23/03/2021 |