Provider Demographics
NPI:1346565322
Name:MORGAN, JEANNE ANN
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:ANN
Last Name:MORGAN
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 1:5916 CLEARVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5663
Mailing Address - Country:US
Mailing Address - Phone:318-465-4918
Mailing Address - Fax:318-549-6166
Practice Address - Street 1:5916 CLEARVIEW CIR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5663
Practice Address - Country:US
Practice Address - Phone:318-465-4918
Practice Address - Fax:318-549-6166
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1240235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist