Provider Demographics
NPI:1457063901
Name:MORALES, MARIA CALVITTI (LDT-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CALVITTI
Last Name:MORALES
Suffix:
Gender:F
Credentials:LDT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2847
Mailing Address - Country:US
Mailing Address - Phone:973-886-0296
Mailing Address - Fax:
Practice Address - Street 1:26 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2847
Practice Address - Country:US
Practice Address - Phone:973-886-0296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist