Provider Demographics
NPI:1326605825
Name:TRENT, MORGAN A (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:A
Last Name:TRENT
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 DAN RIVER CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:24592-6224
Mailing Address - Country:US
Mailing Address - Phone:434-471-1081
Mailing Address - Fax:
Practice Address - Street 1:175 DEER RUN RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2863
Practice Address - Country:US
Practice Address - Phone:434-797-5531
Practice Address - Fax:434-797-5529
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000260235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2202009778OtherVA DEPARTMENT OF HEALTH PROFESSIONS
14276001OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION