Provider Demographics
NPI:1417239534
Name:MORRIS, RENEE W (SLP, CCC-SP)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:W
Last Name:MORRIS
Suffix:
Gender:F
Credentials:SLP, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WHITEHALL RD
Mailing Address - Street 2:ALBANY SCHOOL OF HUMANITIES
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1447
Mailing Address - Country:US
Mailing Address - Phone:518-462-7258
Mailing Address - Fax:
Practice Address - Street 1:108 WHITEHALL RD
Practice Address - Street 2:ALBANY SCHOOL OF HUMANITIES
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1447
Practice Address - Country:US
Practice Address - Phone:518-462-7258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003551-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist