Virginia Brooke Morris, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Boonville, IN
NPI 1861965782 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1861965782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22004501A (IN)
- Practice address
- 111 Morning Dove LN
Boonville, IN 47601-8467 - Phone
- (270) 779-7174
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004501A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004501A | IN | Yes |
Addresses
Primary practice location
111 Morning Dove LN
Boonville, IN 47601-8467
Mailing address
111 Morning Dove LN
Boonville, IN 47601-8467
Phone (270) 779-7174
Other providers in Boonville, IN
- James Wirick Miller Jr.
- Lisa M Miller
- Lori Allison Miller
- Kasey Mills
- James S. Mooney
- Deepthi L Nair
- Nicholas J Wagner, DDS, LLC
- Normal Life of Indiana
- Normal Life of Indiana
- North Haven, Inc.
All providers in Boonville, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.