Provider Demographics
NPI:1306249479
Name:MORRIS, STEPHANIE HUBBARD (MM, MT-BC, NMT)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:HUBBARD
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MM, MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1911
Mailing Address - Country:US
Mailing Address - Phone:254-709-4331
Mailing Address - Fax:
Practice Address - Street 1:72 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1911
Practice Address - Country:US
Practice Address - Phone:254-709-4331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
09630225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist