Provider Demographics
NPI:1992363824
Name:BROTHERS, MORGAN (CF-SLP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 REVELL CV
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2121
Mailing Address - Country:US
Mailing Address - Phone:901-468-8193
Mailing Address - Fax:
Practice Address - Street 1:327 REVELL CV
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2121
Practice Address - Country:US
Practice Address - Phone:901-468-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist