Individual
KACIE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/L
Contact information
Practice address
2641 CAMBRIA ST, FALLENTIMBER, PA 16639-9537
(814) 553-5355
(814) 342-2755
Mailing address
2641 CAMBRIA ST, FALLENTIMBER, PA 16639-9537
(814) 553-5355
(814) 342-2755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013375
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL013375
STATE OF PA
PA
Enumeration date
03/24/2017
Last updated
03/24/2017
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