MEDICARE: MRS. APRIL WHILHELMINA MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist		PA

General Provider Information

NPI Number	:	1205228319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL WHILHELMINA MORGAN

Provider Business Mailing Address
First Line	:	429 UNRUH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-4631
Country	:	US
Telephone Number	:	267-596-9060
Fax Number	:	215-456-2729

Provider Business Practice Location Address
First Line	:	1315 WINDRIM AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19141-2710
Country	:	US
Telephone Number	:	215-456-2696
Fax Number	:	215-456-2729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	02/26/2015

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