Provider Demographics
NPI:1154879971
Name:MORCOS, KRYSTYNA NICOLE (AUD)
Entity type:Individual
Prefix:MRS
First Name:KRYSTYNA
Middle Name:NICOLE
Last Name:MORCOS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KRYSTYNA
Other - Middle Name:NICOLE
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1133 21ST ST. NW
Mailing Address - Street 2:BUILDING 2, SUITE 501
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-416-2093
Mailing Address - Fax:202-785-5040
Practice Address - Street 1:1133 21ST ST. NW
Practice Address - Street 2:BUILDING 2, SUITE 501
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-416-2093
Practice Address - Fax:202-785-5040
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
DCAUD000171231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter