Doctor Name: | MR. RANDY STEVEN MORRIS |
NPI Number: | 1841449618 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SPEECH PATHOLOGIST |
License Number: | 02045 |
Business Practice Address: | 2900 Charlevoix Dr Se Suite 200 Grand Rapids, MI - 495467085 |
Business Phone Number: | 8006341077 |
Business Fax Number: | |
Mailing Address: | 6902 W 51st St, #213 MISSION |
State: | KS |
Postal Code: | 662021418 |
Phone Number: | 9136717517 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 09/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 02045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |