Provider Demographics
NPI:1639627466
Name:NASSER, MORGAN LYNNE (MED)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LYNNE
Last Name:NASSER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LYNNE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:1 ILLINOIS BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-3314
Mailing Address - Country:US
Mailing Address - Phone:847-884-6212
Mailing Address - Fax:847-884-6687
Practice Address - Street 1:1 ILLINOIS BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-3314
Practice Address - Country:US
Practice Address - Phone:847-884-6212
Practice Address - Fax:847-884-6687
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health