Healthcare Provider Details

I. General information

NPI: 1346851516
Provider Name (Legal Business Name): MORGAN SKATZ RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W MAIN ST
SALUNGA PA
17538-1109
US

IV. Provider business mailing address

70 MARTIC HEIGHTS DR
HOLTWOOD PA
17532-9605
US

V. Phone/Fax

Practice location:
  • Phone: 484-238-5554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX5031
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: