Provider Demographics
NPI:1023781614
Name:MORRELL, PATRICIA (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:MORRELL
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-5013
Mailing Address - Country:US
Mailing Address - Phone:603-228-0047
Mailing Address - Fax:
Practice Address - Street 1:152 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2705
Practice Address - Country:US
Practice Address - Phone:603-225-0827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0213235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist