Individual
MS. MARTHA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10668 LYDIA LN, DANVILLE, AR 72833-6890
(479) 495-6326
(473) 495-3336
Mailing address
10668 LYDIA LN, DANVILLE, AR 72833-6890
(479) 495-6326
(473) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1889
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12076236
ASHA
AR
01
—
1889
AR STATE LICENSE
AR
Enumeration date
09/04/2007
Last updated
09/04/2007
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