Healthcare Provider Details

I. General information

NPI: 1639091549
Provider Name (Legal Business Name): MEGHANN ARABELLA MORAGNE EL JD, PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 IVY AVE
BALTIMORE MD
21214-2432
US

IV. Provider business mailing address

12335 BONFIRE DR
REISTERSTOWN MD
21136-1711
US

V. Phone/Fax

Practice location:
  • Phone: 443-470-3595
  • Fax:
Mailing address:
  • Phone: 443-470-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number07560
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: