Provider Demographics
NPI:1699866996
Name:MORRIS, MARSHA S (MFT)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:S
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20412 BRIAN WAY
Mailing Address - Street 2:STE. 1A
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-8702
Mailing Address - Country:US
Mailing Address - Phone:661-823-0661
Mailing Address - Fax:661-823-8474
Practice Address - Street 1:20412 BRIAN WAY
Practice Address - Street 2:STE. 1A
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8702
Practice Address - Country:US
Practice Address - Phone:661-823-0661
Practice Address - Fax:661-823-8474
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37960106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist