Provider Demographics
NPI:1952142481
Name:MOORE, MORGAN DEASIA (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:DEASIA
Last Name:MOORE
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 E WEST HWY APT 130
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1980
Mailing Address - Country:US
Mailing Address - Phone:478-595-5340
Mailing Address - Fax:
Practice Address - Street 1:100 41ST ST NE FL 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3308
Practice Address - Country:US
Practice Address - Phone:478-595-5340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist