Provider Demographics
NPI:1245488428
Name:MOREY, CONNIE KAY (PSYCHOLOGIST (LP))
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:KAY
Last Name:MOREY
Suffix:
Gender:F
Credentials:PSYCHOLOGIST (LP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 147TH ST W
Mailing Address - Street 2:SUITE #180
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7690
Mailing Address - Country:US
Mailing Address - Phone:952-432-3220
Mailing Address - Fax:952-891-4622
Practice Address - Street 1:7373 147TH ST W
Practice Address - Street 2:SUITE #180
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7690
Practice Address - Country:US
Practice Address - Phone:952-432-3220
Practice Address - Fax:952-891-4622
Is Sole Proprietor?:No
Enumeration Date:2008-08-30
Last Update Date:2008-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP2806103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist