Provider Demographics
NPI:1194602383
Name:MCMORRIS, AMANDA S (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:S
Last Name:MCMORRIS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33723 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-1810
Mailing Address - Country:US
Mailing Address - Phone:225-235-8958
Mailing Address - Fax:
Practice Address - Street 1:33723 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-1810
Practice Address - Country:US
Practice Address - Phone:225-235-8958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2852235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist