Provider Demographics
NPI:1891109815
Name:MORGAN, LAURA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MORGAN
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 1:300 VESTAVIA PKWY
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7714
Mailing Address - Country:US
Mailing Address - Phone:205-870-4241
Mailing Address - Fax:205-823-7758
Practice Address - Street 1:300 VESTAVIA PKWY
Practice Address - Street 2:SUITE 2300
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-7714
Practice Address - Country:US
Practice Address - Phone:205-870-4241
Practice Address - Fax:205-823-7758
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3494235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist