Provider Demographics
NPI:1497184337
Name:KIDDER, MORGAN ANN (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ANN
Last Name:KIDDER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 MARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:PA
Mailing Address - Zip Code:16023-2206
Mailing Address - Country:US
Mailing Address - Phone:724-352-4535
Mailing Address - Fax:724-352-4536
Practice Address - Street 1:134 MARWOOD RD
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:PA
Practice Address - Zip Code:16023-2206
Practice Address - Country:US
Practice Address - Phone:724-352-4535
Practice Address - Fax:724-352-4536
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist