Provider Demographics
NPI:1518712405
Name:MORIN, STARRCRYSTAL MARIE (FULL SPECTRUM DOULA)
Entity Type:Individual
Prefix:
First Name:STARRCRYSTAL
Middle Name:MARIE
Last Name:MORIN
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:STARRCRYSTAL
Other - Middle Name:MARIE
Other - Last Name:LEBRON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1690 BOSTON RD # 1057
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1153
Mailing Address - Country:US
Mailing Address - Phone:413-570-0532
Mailing Address - Fax:
Practice Address - Street 1:1690 BOSTON RD # 1057
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01129-1153
Practice Address - Country:US
Practice Address - Phone:413-570-0532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty