Provider Demographics
NPI:1821333675
Name:MORGANTE, ERIKA CHRISTINE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:CHRISTINE
Last Name:MORGANTE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 38TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-8419
Mailing Address - Country:US
Mailing Address - Phone:828-327-3636
Mailing Address - Fax:
Practice Address - Street 1:1265 21ST ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2971
Practice Address - Country:US
Practice Address - Phone:828-267-3693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6495235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01110372OtherASHA NATIONAL CERTIFICATION
NC6495OtherSTATE SPEECH-LANGUAGE-PATHOLOGY LICENSE