Provider Demographics
NPI:1487872180
Name:MORRIS, JAMES PHILLIP (PHD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PHILLIP
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 1493
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:TX
Mailing Address - Zip Code:76856
Mailing Address - Country:US
Mailing Address - Phone:325-347-6742
Mailing Address - Fax:
Practice Address - Street 1:104 S PECAN ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:TX
Practice Address - Zip Code:76856
Practice Address - Country:US
Practice Address - Phone:325-347-6742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-08-03
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-03
Provider Licenses
StateLicense IDTaxonomies
TX4661106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist