1033495395 NPI number — MRS. KATHLEEN LANCE MORGAN M.A. CCC-SLP

Table of content: DR. JONATHAN TODD BLOCH D.M.D (NPI 1649430059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033495395 NPI number — MRS. KATHLEEN LANCE MORGAN M.A. CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORGAN
Provider First Name:
KATHLEEN
Provider Middle Name:
LANCE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A. CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LANCE
Provider Other First Name:
KATHLEEN
Provider Other Middle Name:
MARIA
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A. CCC-SLP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1033495395
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 549
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAGGIE VALLEY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28751-0549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-646-3014
Provider Business Mailing Address Fax Number:
828-566-3005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75 FISHER LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAGGIE VALLEY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28751-5531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-566-3014
Provider Business Practice Location Address Fax Number:
828-566-3005
Provider Enumeration Date:
10/31/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  5590 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com