Provider Demographics
NPI:1184119869
Name:MORGAN, ALLISON M (CLD, CPD, CLE, CBE)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CLD, CPD, CLE, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 MAST RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-1218
Mailing Address - Country:US
Mailing Address - Phone:603-851-1595
Mailing Address - Fax:
Practice Address - Street 1:660 MAST RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-1218
Practice Address - Country:US
Practice Address - Phone:603-851-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RN