Provider Demographics
NPI:1184743528
Name:MORRISON, LOURDES DUJUNCO (MS CCC-SLP-L)
Entity type:Individual
Prefix:MS
First Name:LOURDES
Middle Name:DUJUNCO
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MS CCC-SLP-L
Other - Prefix:MS
Other - First Name:LOURDES
Other - Middle Name:EUGENIO
Other - Last Name:DUJUNCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC-SLP-L
Mailing Address - Street 1:2546 LIGHTWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2051
Mailing Address - Country:US
Mailing Address - Phone:412-833-7659
Mailing Address - Fax:
Practice Address - Street 1:1717 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-1616
Practice Address - Country:US
Practice Address - Phone:412-886-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007345235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist