Provider Demographics
NPI:1063933141
Name:MORGAN, SAMANTHA IRENE (AUD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:IRENE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOSPITAL OVAL WEST
Mailing Address - Street 2:CEDARWOOD HALL ROOM 322
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1571
Mailing Address - Country:US
Mailing Address - Phone:914-493-8528
Mailing Address - Fax:
Practice Address - Street 1:20 HOSPITAL OVAL WEST
Practice Address - Street 2:435 CEDARWOOD HALL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1571
Practice Address - Country:US
Practice Address - Phone:914-493-8528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002725-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist