Provider Demographics
NPI:1306589197
Name:TOFT, MORGAN GRACE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:GRACE
Last Name:TOFT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:GRACE
Other - Last Name:DUFRESNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:7008 CORVUS CIR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8765
Mailing Address - Country:US
Mailing Address - Phone:510-329-5563
Mailing Address - Fax:
Practice Address - Street 1:7926 FIRESTONE WAY
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-4633
Practice Address - Country:US
Practice Address - Phone:916-727-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist