Provider Demographics
NPI:1275151383
Name:ALDRIDGE, MORGAN MCKINLEY
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:MCKINLEY
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6032 E CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-8853
Mailing Address - Country:US
Mailing Address - Phone:480-204-0062
Mailing Address - Fax:
Practice Address - Street 1:6032 E CARRIAGE DR
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-8853
Practice Address - Country:US
Practice Address - Phone:480-204-0062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10410235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist