Provider Demographics
NPI:1013759091
Name:MORGAN, SYDNEY (RD, LDN)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LEXINGTON CT APT 321
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-5708
Mailing Address - Country:US
Mailing Address - Phone:978-877-9304
Mailing Address - Fax:
Practice Address - Street 1:1 HIGHLANDER WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-7403
Practice Address - Country:US
Practice Address - Phone:603-668-4753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN6899133V00000X
NH1463133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered