Basic Information
| Provider Information | |||||||||
| NPI: | 1679823363 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HALE-MORGAN | ||||||||
| FirstName: | NEOLA | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | RPSGT; RST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2316 230TH ST | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211221265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103178521 | ||||||||
| FaxNumber: | 4103178521 | ||||||||
| Practice Location | |||||||||
| Address1: | 7141 SECURITY BLVD | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212441811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4436636000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2012 | ||||||||
| LastUpdateDate: | 09/11/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246Z00000X | Z0000046 | MD | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other |
No ID Information.