Provider Demographics
NPI:1568243459
Name:MARSH, MORGAN KATHRYN (MA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:KATHRYN
Last Name:MARSH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 WOOD RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-4575
Mailing Address - Country:US
Mailing Address - Phone:315-591-0359
Mailing Address - Fax:
Practice Address - Street 1:92 WOOD RIDGE LN
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-4575
Practice Address - Country:US
Practice Address - Phone:315-591-0359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist