Provider Demographics
NPI:1114599867
Name:MORGAN, ALYSSA BROOKE
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:BROOKE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 LOCK AVE
Mailing Address - Street 2:
Mailing Address - City:NITRO
Mailing Address - State:WV
Mailing Address - Zip Code:25143-1280
Mailing Address - Country:US
Mailing Address - Phone:304-955-8283
Mailing Address - Fax:
Practice Address - Street 1:96 LOCK AVE
Practice Address - Street 2:
Practice Address - City:NITRO
Practice Address - State:WV
Practice Address - Zip Code:25143-1280
Practice Address - Country:US
Practice Address - Phone:304-955-8283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist