Provider Demographics
NPI:1801211008
Name:MORGAN, GEORGINA
Entity Type:Individual
Prefix:
First Name:GEORGINA
Middle Name:
Last Name:MORGAN
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 1:730 PEPPARD AVE
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-1067
Mailing Address - Country:US
Mailing Address - Phone:740-942-7800
Mailing Address - Fax:
Practice Address - Street 1:322 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:OH
Practice Address - Zip Code:43988-9781
Practice Address - Country:US
Practice Address - Phone:740-942-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.6486235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist