Provider Demographics
NPI:1902672108
Name:MORSE SPEECH THERAPY AND EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:MORSE SPEECH THERAPY AND EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, CCC-SLP
Authorized Official - Phone:706-309-4391
Mailing Address - Street 1:600 GRAND OAKS WAY UNIT 326
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0017
Mailing Address - Country:US
Mailing Address - Phone:706-309-4391
Mailing Address - Fax:
Practice Address - Street 1:600 GRAND OAKS WAY UNIT 326
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-0017
Practice Address - Country:US
Practice Address - Phone:706-309-4391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech