Provider Demographics
NPI:1700634300
Name:FLOYD, MORGAN EVANS (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:EVANS
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:ELIZABETH
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:529 REDWINE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CANON
Mailing Address - State:GA
Mailing Address - Zip Code:30520-3226
Mailing Address - Country:US
Mailing Address - Phone:706-988-6742
Mailing Address - Fax:
Practice Address - Street 1:323 FRANKLIN SPRINGS ST
Practice Address - Street 2:
Practice Address - City:ROYSTON
Practice Address - State:GA
Practice Address - Zip Code:30662-4014
Practice Address - Country:US
Practice Address - Phone:706-981-9314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP013008235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist