Provider Demographics
NPI:1609595354
Name:KUSZMAUL, MORGAN KAYE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:KAYE
Last Name:KUSZMAUL
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 1:83 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1903
Mailing Address - Country:US
Mailing Address - Phone:330-978-7636
Mailing Address - Fax:
Practice Address - Street 1:4190 STATE ROUTE 44
Practice Address - Street 2:
Practice Address - City:ROOTSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44272-9697
Practice Address - Country:US
Practice Address - Phone:330-325-7971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15453235Z00000X
OHCOND.20211907-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist