MEDICARE: RIANNE RENEE MORRISON M.S. 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	4577	AL
2	235Z00000X	Speech-Language Pathologist	146015742	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14321570	OTHER		AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION

General Provider Information

NPI Number	:	1417519786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIANNE RENEE MORRISON M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	3726 OREGON CT APT C
Second Line	:
City	:	GREAT LAKES
State	:	IL
Zip	:	60088-1438
Country	:	US
Telephone Number	:	909-351-9032
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 LEWIS AVE
Second Line	:
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-2543
Country	:	US
Telephone Number	:	847-689-8150
Fax Number	:

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

Provider Enumeration Date	:	07/08/2019
Last Update Date	:	09/09/2021

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