Provider Demographics
NPI:1962214627
Name:MORRY, ELLA MASON (BS SLPA)
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:MASON
Last Name:MORRY
Suffix:
Gender:F
Credentials:BS SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SPARROW AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-6574
Mailing Address - Country:US
Mailing Address - Phone:508-776-5818
Mailing Address - Fax:
Practice Address - Street 1:67 SPARROW AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-6574
Practice Address - Country:US
Practice Address - Phone:508-776-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI73022355S0801X
MASPA1004742355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant