Provider Demographics
NPI:1558991422
Name:CARTER MORGAN SPEECH & LANGUAGE THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:CARTER MORGAN SPEECH & LANGUAGE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARTER-MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-372-1469
Mailing Address - Street 1:289 SOUTHSHORE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-4108
Mailing Address - Country:US
Mailing Address - Phone:678-331-7694
Mailing Address - Fax:
Practice Address - Street 1:289 SOUTHSHORE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-4108
Practice Address - Country:US
Practice Address - Phone:678-331-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty