Provider Demographics
NPI:1881384188
Name:ANDERSON, MORGAN DANIELLE (AUD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:DANIELLE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:DANIELLE
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:512 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4147
Mailing Address - Country:US
Mailing Address - Phone:715-844-7202
Mailing Address - Fax:715-847-2325
Practice Address - Street 1:512 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4147
Practice Address - Country:US
Practice Address - Phone:715-847-2021
Practice Address - Fax:715-584-7232
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist