Provider Demographics
NPI:1356675169
Name:MORSE, STEPHEN D (CCC-S)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:D
Last Name:MORSE
Suffix:
Gender:M
Credentials:CCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 TILSON ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7131
Mailing Address - Country:US
Mailing Address - Phone:907-747-0527
Mailing Address - Fax:907-747-0527
Practice Address - Street 1:314 TILSON ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7131
Practice Address - Country:US
Practice Address - Phone:907-752-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK15235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist