Provider Demographics
NPI:1053001347
Name:MORRIS, KATELYNN DAWN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:KATELYNN
Middle Name:DAWN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 PINE ROW CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4922
Mailing Address - Country:US
Mailing Address - Phone:913-523-4322
Mailing Address - Fax:
Practice Address - Street 1:868 KINGSLAND AVE
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-3181
Practice Address - Country:US
Practice Address - Phone:314-955-6884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist