Provider Demographics
NPI:1952504698
Name:MORRISON, VICTORIA (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:
Last Name:MORRISON
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 1:108 S WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12095-2420
Mailing Address - Country:US
Mailing Address - Phone:518-736-3942
Mailing Address - Fax:518-762-3533
Practice Address - Street 1:108 S WILLIAM ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:NY
Practice Address - Zip Code:12095-2420
Practice Address - Country:US
Practice Address - Phone:518-736-3942
Practice Address - Fax:518-762-3533
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0087281235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist