Provider Demographics
NPI:1053777813
Name:MORRO, GREGORY (PHD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:MORRO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 GLADSTONE ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6939
Mailing Address - Country:US
Mailing Address - Phone:401-480-4134
Mailing Address - Fax:
Practice Address - Street 1:186 GLADSTONE ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6939
Practice Address - Country:US
Practice Address - Phone:401-480-4134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst