Provider Demographics
NPI:1295446011
Name:SALIBA, MORGAN DIANE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:DIANE
Last Name:SALIBA
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:DIANE
Other - Last Name:PLUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:6519 SAN BONITA AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3189
Mailing Address - Country:US
Mailing Address - Phone:713-907-5666
Mailing Address - Fax:
Practice Address - Street 1:1552 COUNTRY CLUB PLAZA DR UNIT 1570
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3859
Practice Address - Country:US
Practice Address - Phone:636-724-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020010549235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist