Provider Demographics
NPI:1679730337
Name:MORGAN, DIANA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 248640
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-8640
Mailing Address - Country:US
Mailing Address - Phone:614-406-8641
Mailing Address - Fax:614-418-9089
Practice Address - Street 1:3620 N HIGH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3611
Practice Address - Country:US
Practice Address - Phone:614-451-0116
Practice Address - Fax:614-418-9089
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS00164921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical