Provider Demographics
NPI:1902120678
Name:MORRISSEY, KRISTEN DUDLEY (MS, CCC-SLP, RRT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:DUDLEY
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP, RRT
Other - Prefix:
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Mailing Address - Street 1:4855 ISLEWORTH DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-4500
Mailing Address - Country:US
Mailing Address - Phone:972-897-1228
Mailing Address - Fax:
Practice Address - Street 1:9240 COUNTY VIEW RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1124
Practice Address - Country:US
Practice Address - Phone:972-708-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70661227800000X
TX103803235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified