Provider Demographics
NPI:1073746665
Name:SCALISE-MORRISSEY, CHRISTINA JOSEPHINE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:JOSEPHINE
Last Name:SCALISE-MORRISSEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 W BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2804
Mailing Address - Country:US
Mailing Address - Phone:630-853-3374
Mailing Address - Fax:630-789-8852
Practice Address - Street 1:11 W BIRCHWOOD AVE
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2804
Practice Address - Country:US
Practice Address - Phone:630-853-3374
Practice Address - Fax:630-789-8852
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL001465080235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist