Provider Demographics
NPI:1437367869
Name:MORGAN, DEBRA L (MA, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 STONERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9665
Mailing Address - Country:US
Mailing Address - Phone:937-395-0511
Mailing Address - Fax:
Practice Address - Street 1:4439 STATE ROUTE 159 STE G70
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601
Practice Address - Country:US
Practice Address - Phone:740-779-4327
Practice Address - Fax:740-779-4399
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00625231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist