Provider Demographics
NPI:1356723555
Name:MORGAN, MARK
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 DEKALB ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3406
Mailing Address - Country:US
Mailing Address - Phone:484-681-4697
Mailing Address - Fax:484-674-7039
Practice Address - Street 1:1430 DEKALB ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3406
Practice Address - Country:US
Practice Address - Phone:484-681-4697
Practice Address - Fax:484-674-7039
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor