Provider Demographics
NPI:1588898019
Name:MORTON, LEAH MARIE (CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:MARIE
Last Name:MORTON
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5707 SPRUCE MILL DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7220
Mailing Address - Country:US
Mailing Address - Phone:267-392-5175
Mailing Address - Fax:
Practice Address - Street 1:780 NEWTOWN YARDLEY RD
Practice Address - Street 2:STE 321
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4502
Practice Address - Country:US
Practice Address - Phone:215-968-8812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009579235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist