Provider Demographics
NPI:1013122415
Name:MORRIS, JODIE LYNN (SLP)
Entity Type:Individual
Prefix:MS
First Name:JODIE
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials: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 BRIDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-4950
Mailing Address - Country:US
Mailing Address - Phone:724-531-1154
Mailing Address - Fax:
Practice Address - Street 1:107 CURRY RD
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-3415
Practice Address - Country:US
Practice Address - Phone:724-852-6229
Practice Address - Fax:724-852-6229
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008771235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist