Provider Demographics
NPI:1134548688
Name:HARRIMAN, MORGAN BETH (SLP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:BETH
Last Name:HARRIMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:BETH
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 N SAM HOUSTON PKWY W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4338
Mailing Address - Country:US
Mailing Address - Phone:832-828-1005
Mailing Address - Fax:832-825-9461
Practice Address - Street 1:700 N SAM HOUSTON PKWY W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4338
Practice Address - Country:US
Practice Address - Phone:832-828-1005
Practice Address - Fax:832-825-9461
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist