Provider Demographics
NPI:1518524925
Name:O'MALLEY, MORGAN JOSEPHINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:JOSEPHINE
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5306 SANTUARY LANE
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44054
Mailing Address - Country:US
Mailing Address - Phone:317-460-3927
Mailing Address - Fax:
Practice Address - Street 1:VCUHS DEPT OF PSYCHIATRY RESIDENCY, 980710
Practice Address - Street 2:1250 E MARSHALL STREET
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-828-7912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program