Basic Information
Provider Information | |||||||||
NPI: | 1295122190 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | MORGAN-JOHNSON | ||||||||
FirstName: | ASHLEY | ||||||||
MiddleName: | ANN | ||||||||
NamePrefix: | MRS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | SLP | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | MORGAN | ||||||||
OtherFirstName: | ASHLEY | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: | MISS | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | SLP | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 1136 UPPER STATE RD | ||||||||
Address2: |   | ||||||||
City: | CHALFONT | ||||||||
State: | PA | ||||||||
PostalCode: | 189142505 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6109526894 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 501 PLUSH MILL RD | ||||||||
Address2: |   | ||||||||
City: | WALLINGFORD | ||||||||
State: | PA | ||||||||
PostalCode: | 190866040 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7244712942 | ||||||||
FaxNumber: | 7248018147 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/20/2015 | ||||||||
LastUpdateDate: | 04/20/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL011099 | PA | Y |   | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |   |
No ID Information.