Provider Demographics
NPI:1215139936
Name:MORGAN, ELAINE M (CMT)
Entity type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CARRION CT.
Mailing Address - Street 2:
Mailing Address - City:WINTERS
Mailing Address - State:CA
Mailing Address - Zip Code:95694
Mailing Address - Country:US
Mailing Address - Phone:530-795-2954
Mailing Address - Fax:
Practice Address - Street 1:217 PARKER ST
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-3915
Practice Address - Country:US
Practice Address - Phone:707-365-4662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor