Provider Demographics
NPI:1386313302
Name:POLSTON, MORGAN LEIGH (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEIGH
Last Name:POLSTON
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 4TH AVE N APT 458
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1142
Mailing Address - Country:US
Mailing Address - Phone:205-218-1257
Mailing Address - Fax:
Practice Address - Street 1:109 WESTPARK DR STE 105
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5340
Practice Address - Country:US
Practice Address - Phone:615-376-9633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist