Healthcare Provider Details

I. General information

NPI: 1184119869
Provider Name (Legal Business Name): ALLISON M MORGAN CLD, CPD, CLE, CBE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 MAST RD
MANCHESTER NH
03102-1218
US

IV. Provider business mailing address

660 MAST RD
MANCHESTER NH
03102-1218
US

V. Phone/Fax

Practice location:
  • Phone: 603-851-1595
  • Fax:
Mailing address:
  • Phone: 603-851-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: