MEDICARE: DR. MICHELLE KALEEN MORRISON ED.D, 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	146 002791	IL

General Provider Information

NPI Number	:	1437282613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE KALEEN MORRISON ED.D, CCC SLP

Provider Business Mailing Address
First Line	:	10409 S ROBERTS RD
Second Line	:
City	:	PALOS HILLS
State	:	IL
Zip	:	60465-1931
Country	:	US
Telephone Number	:	708-599-9500
Fax Number	:	708-599-2791

Provider Business Practice Location Address
First Line	:	10409 S ROBERTS RD
Second Line	:
City	:	PALOS HILLS
State	:	IL
Zip	:	60465-1931
Country	:	US
Telephone Number	:	708-599-9500
Fax Number	:	708-599-2791

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	12/06/2016

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Directions to “ DR. MICHELLE KALEEN MORRISON ED.D, CCC SLP” Practice Location

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