Provider Demographics
NPI:1174865877
Name:MORRIS, SUZANNE EVANS (PHD)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:EVANS
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 ROBERTS MOUNTAIN RD.
Mailing Address - Street 2:
Mailing Address - City:FABER
Mailing Address - State:VA
Mailing Address - Zip Code:22938
Mailing Address - Country:US
Mailing Address - Phone:434-361-2285
Mailing Address - Fax:434-361-1807
Practice Address - Street 1:1124 ROBERTS MOUNTAIN RD.
Practice Address - Street 2:
Practice Address - City:FABER
Practice Address - State:VA
Practice Address - Zip Code:22938
Practice Address - Country:US
Practice Address - Phone:434-361-2285
Practice Address - Fax:434-361-1807
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001362235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist