Provider Demographics
NPI:1447616016
Name:MCMORRIES, PAIGE NICOLE (MCD, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:NICOLE
Last Name:MCMORRIES
Suffix:
Gender:F
Credentials:MCD, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 PINOAK PL
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8037
Mailing Address - Country:US
Mailing Address - Phone:870-897-9322
Mailing Address - Fax:
Practice Address - Street 1:1620 PINOAK PL
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-8037
Practice Address - Country:US
Practice Address - Phone:870-897-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist