Provider Demographics
NPI:1134545379
Name:MORGAN, JANET (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:JANET
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 1:605 JOCKEY CV
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7169
Mailing Address - Country:US
Mailing Address - Phone:618-530-3943
Mailing Address - Fax:
Practice Address - Street 1:605 JOCKEY CV
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-7169
Practice Address - Country:US
Practice Address - Phone:618-530-3943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN771235Z00000X
MSS3540235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist