Provider Demographics
NPI:1881122604
Name:RITCHIE, MORGAN RENAE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RENAE
Last Name:RITCHIE
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 1:22290 N ROUTE V
Mailing Address - Street 2:
Mailing Address - City:STURGEON
Mailing Address - State:MO
Mailing Address - Zip Code:65284-9049
Mailing Address - Country:US
Mailing Address - Phone:660-815-1767
Mailing Address - Fax:
Practice Address - Street 1:945 N MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-9138
Practice Address - Country:US
Practice Address - Phone:660-886-7419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016026448235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist