Provider Demographics
NPI:1265600381
Name:MORGAN, MARIA LYNN (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 WELCH RD
Mailing Address - Street 2:3RD FLOOR, DEPT. OF REHAB SERVICES
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1601
Mailing Address - Country:US
Mailing Address - Phone:650-497-8646
Mailing Address - Fax:650-855-8867
Practice Address - Street 1:2345 YALE ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1448
Practice Address - Country:US
Practice Address - Phone:650-855-8864
Practice Address - Fax:650-855-8867
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist