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Individual

MORGAN LEE HERATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
3101 W MCDOWELL RD, PHOENIX, AZ 85009-2419
(602) 442-2900
Mailing address
1920 E INDIAN SCHOOL RD APT 4006, PHOENIX, AZ 85016-6064
(815) 354-7266

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11842
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP11842
AZDHS
AZ
Enumeration date
07/26/2019
Last updated
05/25/2023
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