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NPI Code Detail

MEDICARE: MORGAN BETH HOLLABAUGH

MEDICARE: MORGAN BETH HOLLABAUGH
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
1247200000XOther Technician
2103K00000XBehavior Analyst1-20-44892

General Provider Information

NPI Number : 1295241347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN BETH HOLLABAUGH
Provider Business Mailing Address
First Line : 2819 WAHOO DR
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3216 BALLARD LN
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-7200
Country : US
Telephone Number : 812-590-2157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2017
Last Update Date : 06/07/2024

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Directions to “ MORGAN BETH HOLLABAUGH ” Practice Location

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