Provider Demographics
NPI:1033975602
Name:MORRIS, MADALYN (ICCE, CD(DONA), CLEC)
Entity Type:Individual
Prefix:MS
First Name:MADALYN
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ICCE, CD(DONA), CLEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 N LAUREL AVE
Mailing Address - Street 2:2
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046
Mailing Address - Country:US
Mailing Address - Phone:323-244-3912
Mailing Address - Fax:
Practice Address - Street 1:1253 N LAUREL AVE APT 2
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5133
Practice Address - Country:US
Practice Address - Phone:323-244-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula