Individual
ELIZABETH DIANA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
12628 OTSEGO ST, VALLEY VILLAGE, CA 91607-2920
(574) 309-3805
Mailing address
12628 OTSEGO ST, VALLEY VILLAGE, CA 91607-2920
(574) 309-3805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP22321
CA
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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