MEDICARE: MORGAN HARMON MSED 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
1	235Z00000X	Speech-Language Pathologist	030414	NY

General Provider Information

NPI Number	:	1578151544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN HARMON MSED CCC-SLP

Provider Business Mailing Address
First Line	:	267 BALLARD RD STE 6
Second Line	:
City	:	WILTON
State	:	NY
Zip	:	12831-1593
Country	:	US
Telephone Number	:	518-746-3310
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SANFORD ST
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-2931
Country	:	US
Telephone Number	:	518-761-6964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2021
Last Update Date	:	02/13/2026

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