Provider Demographics
NPI:1962751925
Name:MORGAN, CORINA JANE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CORINA
Middle Name:JANE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:CORINA
Other - Middle Name:JANE
Other - Last Name:HARWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 2029
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3611
Mailing Address - Country:US
Mailing Address - Phone:847-767-0777
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 2029
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3611
Practice Address - Country:US
Practice Address - Phone:847-767-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071010306103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical