Organization
JERI MORRIS, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERI MORRIS CLINICAL PSYCHOLOGIS (PRESIDENT)
(312) 321-9443
Entity
Organization
Contact information
Practice address
60 REVERE DR, SUITE 330, NORTHBROOK, IL 60062-1563
(847) 432-9055
(847) 432-7787
Mailing address
395 BEECH ST, HIGHLAND PARK, IL 60035-4133
(312) 321-9443
(847) 432-7787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071003104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487720736
UPI NUMBER FOR JERI MORRIS
IL
Enumeration date
12/16/2009
Last updated
12/16/2009
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