Provider Demographics
NPI:1730700527
Name:MORRISON, ANDREA BETH
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:BETH
Last Name:MORRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CHARLES ELLIS DR APT 405
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1325
Mailing Address - Country:US
Mailing Address - Phone:310-357-5648
Mailing Address - Fax:
Practice Address - Street 1:500 CHARLES ELLIS DR APT 405
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-1325
Practice Address - Country:US
Practice Address - Phone:310-357-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-03
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other