Healthcare Provider Details

I. General information

NPI: 1528992237
Provider Name (Legal Business Name): MORGAN A MARRINER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40722 STATE ROUTE 154
LISBON OH
44432-8500
US

IV. Provider business mailing address

7423 TIFFANY S
YOUNGSTOWN OH
44514-3908
US

V. Phone/Fax

Practice location:
  • Phone: 330-424-9573
  • Fax: 330-424-0877
Mailing address:
  • Phone: 330-626-2955
  • Fax: 330-629-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: