Provider Demographics
NPI:1538995055
Name:ZUPKUS, MORGAN A (AUD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:A
Last Name:ZUPKUS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1994 GALLATIN PIKE N STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2024
Mailing Address - Country:US
Mailing Address - Phone:615-851-9005
Mailing Address - Fax:615-851-9007
Practice Address - Street 1:920 S HARTMANN DR STE 100
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-4137
Practice Address - Country:US
Practice Address - Phone:615-948-5420
Practice Address - Fax:615-851-9007
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2253237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter