Provider Demographics
NPI:1912229261
Name:MORRIS, LINDA MARLENE (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARLENE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 STARVIEW DR APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2627
Mailing Address - Country:US
Mailing Address - Phone:408-506-0002
Mailing Address - Fax:408-540-7779
Practice Address - Street 1:1132 MCKENDRIE ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1406
Practice Address - Country:US
Practice Address - Phone:408-506-0002
Practice Address - Fax:408-540-7779
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27510106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist