Provider Demographics
NPI:1508383787
Name:DZURKO, MORGAN ALLISON
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ALLISON
Last Name:DZURKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 ARLINGTON CENTRE BLVD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3083
Mailing Address - Country:US
Mailing Address - Phone:614-615-5145
Mailing Address - Fax:
Practice Address - Street 1:5000 ARILINGTON CENTERE BLV BUILDING 2
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43220
Practice Address - Country:US
Practice Address - Phone:614-615-5145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician