Provider Demographics
NPI:1851553366
Name:TESSLER, MORGAN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:
Last Name:TESSLER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4528 BELLEVIEW AVE
Mailing Address - Street 2:#303
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3582
Mailing Address - Country:US
Mailing Address - Phone:813-731-1858
Mailing Address - Fax:
Practice Address - Street 1:4528 BELLEVIEW AVE
Practice Address - Street 2:#303
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3582
Practice Address - Country:US
Practice Address - Phone:813-731-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 4529235Z00000X
FLSA 10415235Z00000X
KS3712235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist