Individual
JAMES B MORRISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
4020 COPPER VIEW DR, TRAVERSE CITY, TRAVERSE CITY, MI 49684-1364
(231) 947-0795
Mailing address
PO BOX 45, PORTAGE, PORTAGE, IN 46368-0045
(219) 787-1510
(219) 787-8761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301004080
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B84512
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
07/12/2006
Last updated
07/02/2008
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