Provider Demographics
NPI:1265203962
Name:BARKSDALE, MORGAN ALISA (BS,CPS)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ALISA
Last Name:BARKSDALE
Suffix:
Gender:F
Credentials:BS,CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ELIZABETH DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3331
Mailing Address - Country:US
Mailing Address - Phone:814-282-8919
Mailing Address - Fax:
Practice Address - Street 1:362 CHURCHILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5307
Practice Address - Country:US
Practice Address - Phone:814-282-8919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician