Provider Demographics
NPI:1487791414
Name:MORGAN, BETTY D (PHD, APRN-BC)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:D
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PHD, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 LANEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3660
Mailing Address - Country:US
Mailing Address - Phone:508-875-1967
Mailing Address - Fax:
Practice Address - Street 1:13 LANEWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3660
Practice Address - Country:US
Practice Address - Phone:508-875-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA148706363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health