Provider Demographics
NPI:1255471785
Name:MORSE, DIANTHA (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:DIANTHA
Middle Name:
Last Name:MORSE
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 PATRICIA GENOVA DRIVE
Mailing Address - Street 2:EASTERN REHABILITATION NETWORK (5TH FLOOR)
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111
Mailing Address - Country:US
Mailing Address - Phone:860-667-5480
Mailing Address - Fax:860-667-8416
Practice Address - Street 1:181 PATRICIA GENOVA DRIVE
Practice Address - Street 2:EASTERN REHABILITATION NETWORK (5TH FLOOR)
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111
Practice Address - Country:US
Practice Address - Phone:860-667-5480
Practice Address - Fax:860-667-8416
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000004231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist