Provider Demographics
NPI:1255798468
Name:MORRISON-GILL, AUBREY DAWN (PSYD)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:DAWN
Last Name:MORRISON-GILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 WOODMAN DR STE 240
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1159
Mailing Address - Country:US
Mailing Address - Phone:937-951-3077
Mailing Address - Fax:
Practice Address - Street 1:3085 WOODMAN DR STE 240
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1159
Practice Address - Country:US
Practice Address - Phone:937-951-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7396103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical