Healthcare Provider Details
I. General information
NPI: 1780505784
Provider Name (Legal Business Name): MORGAN GRIFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1315 CYPRESS ST
WEST MONROE LA
71291-2709
US
IV. Provider business mailing address
104 CHEROKEE DR
WEST MONROE LA
71291-1001
US
V. Phone/Fax
- Phone: 318-366-0825
- Fax:
- Phone: 318-366-0825
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 10124 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: