Provider Demographics
NPI:1871109496
Name:WESTJOHN, MORGAN ELIZABETH
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:WESTJOHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:IL
Mailing Address - Zip Code:62445-1208
Mailing Address - Country:US
Mailing Address - Phone:217-690-7703
Mailing Address - Fax:
Practice Address - Street 1:633 COUNTY HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:COWDEN
Practice Address - State:IL
Practice Address - Zip Code:62422-4104
Practice Address - Country:US
Practice Address - Phone:217-783-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL146016060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program