Provider Demographics
NPI:1235699711
Name:BROOKS, MORGAN M (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:M
Last Name:BROOKS
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:144 NORTH RD STE 3450
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1183
Mailing Address - Country:US
Mailing Address - Phone:978-233-3054
Mailing Address - Fax:978-230-8601
Practice Address - Street 1:144 NORTH RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1156
Practice Address - Country:US
Practice Address - Phone:978-233-3054
Practice Address - Fax:978-230-8601
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA3299372084P0800X
MA2923552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry