Provider Demographics
NPI:1710652557
Name:MORGAN, TORI PESSES (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:PESSES
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:
Other - Last Name:PESSES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CF-SLP
Mailing Address - Street 1:324 HARPER ST
Mailing Address - Street 2:
Mailing Address - City:SAREPTA
Mailing Address - State:LA
Mailing Address - Zip Code:71071-3220
Mailing Address - Country:US
Mailing Address - Phone:318-578-1503
Mailing Address - Fax:
Practice Address - Street 1:324 HARPER ST
Practice Address - Street 2:
Practice Address - City:SAREPTA
Practice Address - State:LA
Practice Address - Zip Code:71071-3220
Practice Address - Country:US
Practice Address - Phone:318-578-1503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8682235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist