Healthcare Provider Details

I. General information

NPI: 1831285071
Provider Name (Legal Business Name): MICHELE D. MORRIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE ST HOSPITAL OF THE UNIV OF PA, 5 SILVERSTEIN BLDG
PHILADELPHIA PA
19104-4206
US

IV. Provider business mailing address

106 BARLEY MILL RD
WALLINGFORD PA
19086-6043
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-2874
  • Fax: 215-614-1912
Mailing address:
  • Phone: 610-891-0733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000453L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: