Healthcare Provider Details

I. General information

NPI: 1184107625
Provider Name (Legal Business Name): ALVADO PHILLIP MORGAN MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SCIENCE PARK STE 2
NEW HAVEN CT
06511-1989
US

IV. Provider business mailing address

125 WARNER HILL RD UNIT 28
STRATFORD CT
06614-1435
US

V. Phone/Fax

Practice location:
  • Phone: 203-777-8648
  • Fax: 203-785-0617
Mailing address:
  • Phone: 203-685-8753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: