Provider Demographics
NPI:1821466459
Name:VERRILL, MORGAN E (MS, LCGC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:E
Last Name:VERRILL
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:DENO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LCGC
Mailing Address - Street 1:8840 COMMERCE PARK PL STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8081 TOWNSHIP LINE RD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2188
Practice Address - Country:US
Practice Address - Phone:317-415-8074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN74000098A170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS