MEDICARE: LESLIE ANNE MORRIS MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	102978	TX

General Provider Information

NPI Number	:	1275141715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE ANNE MORRIS MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1007 MILAM PL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2629
Country	:	US
Telephone Number	:	512-923-4189
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 MILAM PL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2629
Country	:	US
Telephone Number	:	512-923-4189
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

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Directions to “ LESLIE ANNE MORRIS MA, CCC-SLP” Practice Location

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