Healthcare Provider Details

I. General information

NPI: 1548898695
Provider Name (Legal Business Name): MORGAN WINDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 E WARNER RD STE 115
GILBERT AZ
85296-3133
US

IV. Provider business mailing address

7126 E OSBORN RD UNIT 1006
SCOTTSDALE AZ
85251-6317
US

V. Phone/Fax

Practice location:
  • Phone: 480-590-3915
  • Fax:
Mailing address:
  • Phone: 732-890-2503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: