Provider Demographics
NPI:1124322938
Name:BUTRICK, MORGAN NICOLE (SCM)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:NICOLE
Last Name:BUTRICK
Suffix:
Gender:F
Credentials:SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 N CALVERT ST
Mailing Address - Street 2:#2R
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3719
Mailing Address - Country:US
Mailing Address - Phone:913-980-8568
Mailing Address - Fax:
Practice Address - Street 1:3300 WHITEHAVEN ST NW
Practice Address - Street 2:4TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2401
Practice Address - Country:US
Practice Address - Phone:913-980-8568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-08
Last Update Date:2011-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS