Provider Demographics
NPI:1205680949
Name:MORRIS, KATHERINE JEWEL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JEWEL
Last Name:MORRIS
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:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:VEGA
Mailing Address - State:TX
Mailing Address - Zip Code:79092-0022
Mailing Address - Country:US
Mailing Address - Phone:325-446-6322
Mailing Address - Fax:
Practice Address - Street 1:6376 COUNTY ROAD 40
Practice Address - Street 2:
Practice Address - City:VEGA
Practice Address - State:TX
Practice Address - Zip Code:79092-1260
Practice Address - Country:US
Practice Address - Phone:325-446-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist