Doctor Name: | PATRICE MORRIS |
NPI Number: | 1750593455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP006551 |
Business Practice Address: | 3865 Colonail Trail Lilburn, GA - 300477614 |
Business Phone Number: | 6786913532 |
Business Fax Number: | 6786913532 |
Mailing Address: | 3865 Colonial Trl Sw, LILBURN |
State: | GA |
Postal Code: | 300477614 |
Phone Number: | 6786913532 |
Fax Number: | 6786913532 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |