Provider Demographics
NPI:1598909400
Name:MORRIS, JENNIFER SARA
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SARA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E 60TH ST
Mailing Address - Street 2:APT 9F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1406
Mailing Address - Country:US
Mailing Address - Phone:212-486-2738
Mailing Address - Fax:
Practice Address - Street 1:220 E 60TH ST
Practice Address - Street 2:APT 9F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1406
Practice Address - Country:US
Practice Address - Phone:212-486-2738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016652-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist