Provider Demographics
NPI:1730454398
Name:MCCLOSKEY, MORGAN (MA, CCC-SLP BCBA)
Entity type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 BASHFORD LN
Mailing Address - Street 2:#4
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1144
Mailing Address - Country:US
Mailing Address - Phone:703-475-7585
Mailing Address - Fax:
Practice Address - Street 1:5100 ACACIA AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2851
Practice Address - Country:US
Practice Address - Phone:301-897-0815
Practice Address - Fax:301-897-0819
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05858235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist