Provider Demographics
NPI:1083064984
Name:MORRIS, ALLISON (MCD CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MCD CCC-SLP
Other - Prefix:MRS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:BATUSIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD CCC-SLP
Mailing Address - Street 1:326 CAMELBACK DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5185
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:326 CAMELBACK DR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5185
Practice Address - Country:US
Practice Address - Phone:318-278-0561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist