Individual
MR. THERESA JEAN MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
2000 FOUNDATION WAY, SUITE 1200, MARTINSBURG, WV 25401-9003
(304) 264-1214
(304) 264-1331
Mailing address
1301 MEMORIAL PARK AVE, MARTINSBURG, WV 25401-2068
(304) 267-0986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0491
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154141-000
—
WV
Enumeration date
10/02/2006
Last updated
07/08/2007
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