Provider Demographics
NPI:1740641901
Name:MORRISON, ROBERT III (MA, AUD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:MORRISON
Suffix:III
Gender:M
Credentials:MA, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20796 TORRE DEL LAGO ST
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-6384
Mailing Address - Country:US
Mailing Address - Phone:239-989-1732
Mailing Address - Fax:
Practice Address - Street 1:20796 TORRE DEL LAGO ST
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-6384
Practice Address - Country:US
Practice Address - Phone:239-989-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1396231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist