Provider Demographics
NPI:1871081885
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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMAREST
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:201-787-6786
Mailing Address - Street 1:55 MADISON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7397
Mailing Address - Country:US
Mailing Address - Phone:201-787-6786
Mailing Address - Fax:844-231-8930
Practice Address - Street 1:121 SHELLEY DR
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2530
Practice Address - Country:US
Practice Address - Phone:201-787-6786
Practice Address - Fax:844-231-8930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech