Provider Demographics
NPI:1578536165
Name:MORRIS, ANGELA MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 CUMBERLAND FALLS HWY
Mailing Address - Street 2:SUITE U-7
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2743
Mailing Address - Country:US
Mailing Address - Phone:606-528-9993
Mailing Address - Fax:606-528-5553
Practice Address - Street 1:1707 CUMBERLAND FALLS HWY
Practice Address - Street 2:SUITE U-7
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2743
Practice Address - Country:US
Practice Address - Phone:606-528-9993
Practice Address - Fax:606-528-5553
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0380231H00000X
KY0785237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30954OtherBLUEGRASS FAMILY HEALTH
KY70001037Medicaid
KY000000294056OtherANTHEM BC/BS
KY1205224OtherCHA
KYC66002OtherCHI
KYP89536Medicare UPIN
KY000000294056OtherANTHEM BC/BS