Provider Demographics
NPI:1508195579
Name:MORRIS, DEBORAH SWENSON (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SWENSON
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 MONARCH RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7016
Mailing Address - Country:US
Mailing Address - Phone:802-373-9132
Mailing Address - Fax:
Practice Address - Street 1:370 MONARCH RD
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7016
Practice Address - Country:US
Practice Address - Phone:802-373-9132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT12003320235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist