Provider Demographics
NPI:1487797205
Name:MORSE, AUDREY ANNE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:ANNE
Last Name:MORSE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2100
Mailing Address - Country:US
Mailing Address - Phone:413-374-4296
Mailing Address - Fax:
Practice Address - Street 1:41 SOUTH ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2100
Practice Address - Country:US
Practice Address - Phone:413-374-4296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2926235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist