Provider Demographics
NPI:1851439400
Name:MORGESE, ZOE LARSEN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:LARSEN
Last Name:MORGESE
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 1:6494 E GEDDES AVE
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1521
Mailing Address - Country:US
Mailing Address - Phone:303-912-2493
Mailing Address - Fax:
Practice Address - Street 1:6494 E GEDDES AVE
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1521
Practice Address - Country:US
Practice Address - Phone:303-912-2493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00683599235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO43601057Medicaid