MEDICARE: MS. MARNIE CHRISTIE MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	2001007258	MO

General Provider Information

NPI Number	:	1891957767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARNIE CHRISTIE MORGAN

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIRCLE
Second Line	:	EVANS ARMY COMMUNITY HOSPITAL
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80913-5000
Country	:	US
Telephone Number	:	719-526-7879
Fax Number	:	719-526-7759

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR
Second Line	:	ROOM 4911
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80913-4603
Country	:	US
Telephone Number	:	719-526-7879
Fax Number	:	719-526-7759

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	11/08/2010

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