Healthcare Provider Details

I. General information

NPI: 1831575505
Provider Name (Legal Business Name): MORGAN LORIN CALDWELL M.A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 WABASH AVE APT.1A
BALTIMORE MD
21215-7526
US

IV. Provider business mailing address

3911 WABASH AVE APT.1A
BALTIMORE MD
21215-7526
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-0503
  • Fax:
Mailing address:
  • Phone: 410-205-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberN2B2X5E9
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number06150339656
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: