Provider Demographics
NPI:1902141005
Name:JOSEPH MORROW JR PSY D CLINICAL PSYCHOLOGIST PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JOSEPH MORROW JR PSY D CLINICAL PSYCHOLOGIST PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:805-395-0260
Mailing Address - Street 1:816 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA
Mailing Address - State:CA
Mailing Address - Zip Code:93428-2824
Mailing Address - Country:US
Mailing Address - Phone:805-395-0260
Mailing Address - Fax:
Practice Address - Street 1:816 MAIN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA
Practice Address - State:CA
Practice Address - Zip Code:93428-2824
Practice Address - Country:US
Practice Address - Phone:805-395-0260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24915103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty