Provider Demographics
NPI:1235110388
Name:MORGAN, MARY KATHRYN (MS, CCC-A)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:KATHRYN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KATHRYN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:350 MONTEVUE LANE
Mailing Address - Street 2:FREDRICK COUNTY HEALTH DEPARTMENT
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702
Mailing Address - Country:US
Mailing Address - Phone:301-600-1029
Mailing Address - Fax:301-600-3111
Practice Address - Street 1:350 MONTEVUE LANE
Practice Address - Street 2:FREDRICK COUNTY HEALTH DEPARTMENT
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-600-1029
Practice Address - Fax:301-600-3111
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00739237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter