Provider Demographics
NPI:1114638905
Name:MORTON, SHEILA WILLIAMS (SLP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:WILLIAMS
Last Name:MORTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8861 HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:LA
Mailing Address - Zip Code:70086-7574
Mailing Address - Country:US
Mailing Address - Phone:225-348-3796
Mailing Address - Fax:
Practice Address - Street 1:8184 VILLAVASO ST
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:LA
Practice Address - Zip Code:70086-7551
Practice Address - Country:US
Practice Address - Phone:225-258-4680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA607235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist