Elizabeth Diana Morgan, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP22321 Issued in CA

Practice address

12628 Otsego St
Valley Village, CA 91607-2920

Phone

(574) 309-3805

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821512013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12628 OTSEGO ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072920",
            "telephone_number": "574-309-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12628 OTSEGO ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072920",
            "telephone_number": "574-309-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ELIZABETH",
        "middle_name": "DIANA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP22321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Modresky, LMFT
• Iraj Moin, DDS
• Jonathan Clayton Monitz, L.AC, MTOM
• Moradian Dental Corporation, a Professional Corporation (Studio City Smiles)
• Elena Michelle Moran
• Gurinder Singh Multani, OD
• Cindy Michelle Munoz
• Cody Murray, CMT
• Matteo Renato Muti, PH.D.
• N Orthodontics

• Speech-Language Pathologist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.