Provider Demographics
NPI:1821846338
Name:DEAVER, MORGAN LEIGH (AUD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LEIGH
Last Name:DEAVER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LEIGH
Other - Last Name:HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24543 345TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERLAIN
Mailing Address - State:SD
Mailing Address - Zip Code:57325-6303
Mailing Address - Country:US
Mailing Address - Phone:605-730-1808
Mailing Address - Fax:
Practice Address - Street 1:740 E SIOUX AVE STE 102
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-3395
Practice Address - Country:US
Practice Address - Phone:605-494-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1136-A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist