Individual
TAVIA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 S MAIN ST STE 202, MOUNT AIRY, MD 21771-5457
(301) 829-2242
Mailing address
1311 S MAIN ST STE 202, MOUNT AIRY, MD 21771-5457
(301) 829-2242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05833
MD
390200000X
Student in an Organized Health Care Education/Training Program
PSB31411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770288900
TAX ID
CA
Enumeration date
01/22/2007
Last updated
11/09/2022
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