Individual
DR. JERRY A MORRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., M.B.A., ABPP
Contact information
Practice address
12541 FOSTER ST STE 200, OVERLAND PARK, KS 66213-2307
(913) 735-0955
Mailing address
12541 FOSTER ST STE 200, OVERLAND PARK, KS 66213-2307
(913) 735-0955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000245
MO
103TC0700X
Clinical Psychologist
00324
MO
103TC0700X
Clinical Psychologist
Primary
1264
KS
106H00000X
Marriage & Family Therapist
300028
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09708020
BLUE CROSS BLUE SHIELD
MO
05
—
100240270A
—
KS
05
—
493219703
—
MO
Enumeration date
11/07/2005
Last updated
02/08/2024
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