Provider Demographics
NPI:1063951911
Name:SCHULTZ, MORGAN HALL (SLP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:HALL
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 COLONIAL CLUB RD
Mailing Address - Street 2:1105
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4211
Mailing Address - Country:US
Mailing Address - Phone:704-985-0456
Mailing Address - Fax:
Practice Address - Street 1:1105 COLONIAL CLUB RD
Practice Address - Street 2:1105
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4211
Practice Address - Country:US
Practice Address - Phone:704-985-0456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10773235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist