Provider Demographics
NPI:1679048540
Name:MORGAN, VICI-BETH (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:VICI-BETH
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N N ST
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-8302
Mailing Address - Country:US
Mailing Address - Phone:580-467-5824
Mailing Address - Fax:844-525-9894
Practice Address - Street 1:1313 W ASH AVE STE 104
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4357
Practice Address - Country:US
Practice Address - Phone:580-786-5075
Practice Address - Fax:844-525-9894
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK562355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant