Provider Demographics
NPI:1346851516
Name:SKATZ, MORGAN (RDN)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:
Last Name:SKATZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MARTIC HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:HOLTWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:17532-9605
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALUNGA
Practice Address - State:PA
Practice Address - Zip Code:17538-1109
Practice Address - Country:US
Practice Address - Phone:484-238-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5031133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered