Provider Demographics
NPI:1952764631
Name:NORKIEWICZ, MORGAN LEIGH (MS, CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LEIGH
Last Name:NORKIEWICZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:LEIGH
Other - Last Name:LEFFELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP/L
Mailing Address - Street 1:201 PARK DRAG LN
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-4850
Mailing Address - Country:US
Mailing Address - Phone:815-751-5952
Mailing Address - Fax:309-740-2388
Practice Address - Street 1:201 PARK DRAG LN
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-4850
Practice Address - Country:US
Practice Address - Phone:815-751-5952
Practice Address - Fax:309-740-2388
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012832235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist