Provider Demographics
NPI:1407126600
Name:MORTON, ELIZABETH STEWART (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:STEWART
Last Name:MORTON
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10791 S 72ND ST
Mailing Address - Street 2:PEDIATRIC THERAPY CENTER
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3402
Mailing Address - Country:US
Mailing Address - Phone:402-932-2782
Mailing Address - Fax:402-932-2705
Practice Address - Street 1:10791 S 72ND ST
Practice Address - Street 2:PEDIATRIC THERAPY CENTER
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3402
Practice Address - Country:US
Practice Address - Phone:402-932-2782
Practice Address - Fax:402-932-2705
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1501235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist