Provider Demographics
NPI:1568096956
Name:MOREHOUSE, DANIEL JOSEPH (HIS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOSEPH
Last Name:MOREHOUSE
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 E COLONIAL AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-4644
Mailing Address - Country:US
Mailing Address - Phone:509-765-4467
Mailing Address - Fax:
Practice Address - Street 1:827 E COLONIAL AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-4644
Practice Address - Country:US
Practice Address - Phone:509-765-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0000926237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty