Provider Demographics
NPI:1588058010
Name:HASTINGS, MORGAN (SLP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:KELLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:19761 LAWRENCE 1130
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:MO
Mailing Address - Zip Code:65769-8272
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 E SCOTT ST
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-1782
Practice Address - Country:US
Practice Address - Phone:417-235-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014019020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist