Morgan Tutt

Individual provider Active NPI Counseling Psychologist · Bowi, MD

NPI 1104498872 · NPPES record last updated Jul 13, 2021

Key facts

NPI
1104498872
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
Practice address
1400 Jericho Park Rd
Bowi, MD 20715
Phone
(301) 661-4917
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Yes

Addresses

Primary practice location

1400 Jericho Park Rd
Bowi, MD 20715

Mailing address

1304 Tiverton PL
Upper Marlboro, MD 20774-2319
Phone (301) 661-4917

Sources for this page

Verify at the official NPI Registry.