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NPI Code Detail

MEDICARE: AMANDA MORGAN

MEDICARE: AMANDA MORGAN
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 Pathologist5979TN

General Provider Information

NPI Number : 1497486104
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MORGAN
Provider Business Mailing Address
First Line : 2745 EXECUTIVE PARK NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-2723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2745 EXECUTIVE PARK NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-2723
Country : US
Telephone Number : 615-720-2235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 06/22/2022

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Directions to “ AMANDA MORGAN ” Practice Location

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