Provider Demographics
NPI:1245894807
Name:GARRETT, ROBERT MORGAN II (SLP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MORGAN
Last Name:GARRETT
Suffix:II
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 US HIGHWAY 62 AND 68
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:45167-8650
Mailing Address - Country:US
Mailing Address - Phone:937-392-4318
Mailing Address - Fax:937-392-1622
Practice Address - Street 1:5280 US HIGHWAY 62 AND 68
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:OH
Practice Address - Zip Code:45167-8650
Practice Address - Country:US
Practice Address - Phone:937-392-4318
Practice Address - Fax:937-392-1622
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13352235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist