Provider Demographics
NPI:1396942991
Name:MORGAN, ELIZABETH A (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 W RUSK ST STE B
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3600
Mailing Address - Country:US
Mailing Address - Phone:972-463-0117
Mailing Address - Fax:469-361-6496
Practice Address - Street 1:3140 ANNA CADE CIR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-7424
Practice Address - Country:US
Practice Address - Phone:972-463-0117
Practice Address - Fax:469-361-6496
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist