Provider Demographics
NPI:1356062251
Name:MORGAN, GABRIELLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:MORGAN
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 1:2217 IVAN ST APT 116
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-7017
Mailing Address - Country:US
Mailing Address - Phone:806-577-3217
Mailing Address - Fax:
Practice Address - Street 1:2217 IVAN ST APT 116
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-7017
Practice Address - Country:US
Practice Address - Phone:806-577-3217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist