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NPI Code Detail

MEDICARE: MRS. KATHLEEN LANCE MORGAN M.A. CCC-SLP

MEDICARE: MRS. KATHLEEN LANCE MORGAN M.A. 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
1235Z00000XSpeech-Language Pathologist5590NC

General Provider Information

NPI Number : 1033495395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN LANCE MORGAN M.A. CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 549
Second Line :
City : MAGGIE VALLEY
State : NC
Zip : 28751-0549
Country : US
Telephone Number : 828-646-3014
Fax Number : 828-566-3005
Provider Business Practice Location Address
First Line : 75 FISHER LOOP
Second Line :
City : MAGGIE VALLEY
State : NC
Zip : 28751-5531
Country : US
Telephone Number : 828-566-3014
Fax Number : 828-566-3005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2011
Last Update Date : 10/31/2011

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