Provider Demographics
NPI:1285297499
Name:MORGAN, SHALYNN (MED CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHALYNN
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 BARRETT DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-6626
Mailing Address - Country:US
Mailing Address - Phone:847-532-1899
Mailing Address - Fax:
Practice Address - Street 1:2316 BARRETT DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-6626
Practice Address - Country:US
Practice Address - Phone:847-532-1899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist