Provider Demographics
NPI:1891164604
Name:CAMERON, MORGAN K (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:K
Last Name:CAMERON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:K
Other - Last Name:SCHROEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5057 LEAVENWORTH ST
Mailing Address - Street 2:APT 3
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-1305
Mailing Address - Country:US
Mailing Address - Phone:402-658-4455
Mailing Address - Fax:
Practice Address - Street 1:12930 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2900
Practice Address - Country:US
Practice Address - Phone:402-496-8401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2011009168235Z00000X
NE1398235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist