Healthcare Provider Details

I. General information

NPI: 1831955806
Provider Name (Legal Business Name): CLASHA MAIDEN MORROW BSBA/PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLASHA MAIDEN MORROW BSBA/PHD

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 01/19/2025
Certification Date: 01/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 WEBER AVE APT 1
CHESAPEAKE VA
23325-4219
US

IV. Provider business mailing address

1625 WEBER AVE APT 1
CHESAPEAKE VA
23325-4219
US

V. Phone/Fax

Practice location:
  • Phone: 757-208-8258
  • Fax:
Mailing address:
  • Phone: 757-208-8258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: