Provider Demographics
NPI:1174536544
Name:MORGAN, AMY MICHELLE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MICHELLE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:993 BRODHEAD ROAD
Mailing Address - Street 2:STE 10
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2331
Mailing Address - Country:US
Mailing Address - Phone:412-474-3566
Mailing Address - Fax:412-474-3575
Practice Address - Street 1:993 BRODHEAD ROAD
Practice Address - Street 2:STE 10
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2331
Practice Address - Country:US
Practice Address - Phone:412-474-3566
Practice Address - Fax:412-474-3575
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASL006468L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001852889OtherHIGHMARK
PA163532OtherUNISON
PA429152OtherHEALTH AMERICA
PA001965027Medicaid
PA1542052OtherGATEWAY