Provider Demographics
NPI:1457550477
Name:MORGAN, ANTOINETTE H (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:H
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 1:935 SHOTWELL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5595
Mailing Address - Country:US
Mailing Address - Phone:919-359-0589
Mailing Address - Fax:919-550-7695
Practice Address - Street 1:935 SHOTWELL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5595
Practice Address - Country:US
Practice Address - Phone:919-359-0589
Practice Address - Fax:919-550-7695
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3429235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist