Provider Demographics
NPI: | 1447063094 |
---|---|
Name: | MORRIS SPEECH THERAPY ASSOCIATES, LIMITED LIABILITY COMPANY |
Entity type: | Organization |
Organization Name: | MORRIS SPEECH THERAPY ASSOCIATES, LIMITED LIABILITY COMPANY |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO/OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICHELE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DEMAREST |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 201-787-6786 |
Mailing Address - Street 1: | 8 HUMPHREY RD |
Mailing Address - Street 2: | |
Mailing Address - City: | MORRISTOWN |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07960-5708 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 201-787-6786 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1071 VALLEY RD |
Practice Address - Street 2: | |
Practice Address - City: | STIRLING |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07980-1523 |
Practice Address - Country: | US |
Practice Address - Phone: | 201-787-6786 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-01-28 |
Last Update Date: | 2025-01-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |