Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSY12822 | CA |
NPI | 1053363895 |
---|---|
Provider Name | Richard Eugene Morey |
First Address | Atascadero, CA 93423-0714 |
Second Address | Atascadero, CA 93422-3924 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 03/01/2012 |