Individual
MALLORY MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1100
Mailing address
1115 20TH ST STE 205, HUNTINGTON, WV 25703-2071
(304) 691-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
30916
WV
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
30916
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
05/11/2018
Last updated
08/02/2023
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