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NPI Code Detail

MEDICARE: MS. JODIE LYNN MORRIS SLP

MEDICARE: MS. JODIE LYNN MORRIS 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
1235Z00000XSpeech-Language PathologistSL008771PA

General Provider Information

NPI Number : 1013122415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JODIE LYNN MORRIS SLP
Provider Business Mailing Address
First Line : 327 BRIDLEWOOD CT
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-4950
Country : US
Telephone Number : 724-531-1154
Fax Number :
Provider Business Practice Location Address
First Line : 107 CURRY RD
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-3415
Country : US
Telephone Number : 724-852-6229
Fax Number : 724-852-6229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 07/08/2007

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