Provider Demographics
NPI:1164135471
Name:MAHAIRAS, MORGAN ANN BRANDT (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ANN BRANDT
Last Name:MAHAIRAS
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9524 PATRICIAN DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5727
Mailing Address - Country:US
Mailing Address - Phone:727-807-1093
Mailing Address - Fax:
Practice Address - Street 1:10434 ORANGE GROVE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4327
Practice Address - Country:US
Practice Address - Phone:727-807-1093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist