MEDICARE: STEFANIE RENEE 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
1	235Z00000X	Speech-Language Pathologist	70087969	WA

General Provider Information

NPI Number	:	1770124513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE RENEE MORGAN

Provider Business Mailing Address
First Line	:	3010 SAUK DR
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-8232
Country	:	US
Telephone Number	:	425-244-1128
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 CEDAR AVE STE B1
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-4561
Country	:	US
Telephone Number	:	425-405-0837
Fax Number	:

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

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	05/11/2026

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Directions to “ STEFANIE RENEE MORGAN ” Practice Location

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