Provider Demographics
NPI:1699280891
Name:TRELOAR, MORGAN LEE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LEE
Last Name:TRELOAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:923 NE WOODS CHAPEL RD # 322
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1989
Mailing Address - Country:US
Mailing Address - Phone:660-441-4144
Mailing Address - Fax:
Practice Address - Street 1:902 SE 5TH TER
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4343
Practice Address - Country:US
Practice Address - Phone:660-441-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-10
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015036354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist