Healthcare Provider Details

I. General information

NPI: 1932031937
Provider Name (Legal Business Name): MORGAN IMOSSI CNS, CD-N
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 CHAMBERLAIN HWY
BERLIN CT
06037-1921
US

IV. Provider business mailing address

36 CHAMBERLAIN HWY
BERLIN CT
06037-1921
US

V. Phone/Fax

Practice location:
  • Phone: 860-828-3435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number002379
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: