Doctor Name: | JODI MARIE MORGAN |
NPI Number: | 1194865998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA6116 |
Business Practice Address: | 14444 Beach Blvd Jacksonville, FL - 322502079 |
Business Phone Number: | 9048109842 |
Business Fax Number: | |
Mailing Address: | 204 Hidden Dune Ct, PONTE VEDRA |
State: | FL |
Postal Code: | 320824545 |
Phone Number: | 9048109842 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA6116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |