Provider Demographics
NPI:1467697755
Name:MORGAN, RANDI LYNNE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:LYNNE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 N ORACLE RD
Mailing Address - Street 2:#411
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-7732
Mailing Address - Country:US
Mailing Address - Phone:520-829-9635
Mailing Address - Fax:520-829-9636
Practice Address - Street 1:6700 N ORACLE RD
Practice Address - Street 2:#411
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7732
Practice Address - Country:US
Practice Address - Phone:520-829-9635
Practice Address - Fax:520-829-9636
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist