Provider Demographics
NPI:1124750245
Name:HOLL, MORGAN H (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:H
Last Name:HOLL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 RICHMOND DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6061
Mailing Address - Country:US
Mailing Address - Phone:817-648-6600
Mailing Address - Fax:
Practice Address - Street 1:1515 HERITAGE DR STE 105
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3378
Practice Address - Country:US
Practice Address - Phone:817-648-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist