Individual
PHILIP ALLEN MORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
335 BRIGHTON AVE, UNIT 201, PORTLAND, ME 04102-2362
(207) 662-8660
(207) 662-8492
Mailing address
335 BRIGHTON AVE, UNIT 201, PORTLAND, ME 04102-2362
(207) 662-8660
(207) 662-8492
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3286
MA
103G00000X
Clinical Neuropsychologist
Primary
PS848
ME
103TA0700X
Adult Development & Aging Psychologist
3286
MA
103TA0700X
Adult Development & Aging Psychologist
PS848
ME
103TC0700X
Clinical Psychologist
3286
MA
103TC0700X
Clinical Psychologist
PS848
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043391454
FED TAX ID
—
05
—
154880099
—
ME
Enumeration date
02/21/2007
Last updated
12/22/2010
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