Healthcare Provider Details

I. General information

NPI: 1902120678
Provider Name (Legal Business Name): KRISTEN DUDLEY MORRISSEY M.S., CCC-SLP, RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 COUNTY VIEW RD
DALLAS TX
75249-1124
US

IV. Provider business mailing address

4855 ISLEWORTH DR
IRVING TX
75038-4500
US

V. Phone/Fax

Practice location:
  • Phone: 972-708-2060
  • Fax:
Mailing address:
  • Phone: 972-897-1228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number70661
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number103803
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: