Provider Demographics
NPI:1861540015
Name:MORRISEY, RACHEL J (PHD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:MORRISEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 FORT ROOTS DRIVE (116B/NLR)
Mailing Address - Street 2:CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114
Mailing Address - Country:US
Mailing Address - Phone:501-321-3600
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DRIVE (116B/NLR)
Practice Address - Street 2:CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-321-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2349-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39134300Medicaid
WI39134300Medicaid