Provider Demographics
NPI:1639568728
Name:MORSE, ANDREW (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:MORSE
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:MR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:4 CHERRY LEAF CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-5463
Mailing Address - Country:US
Mailing Address - Phone:501-993-3610
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-6645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#3305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist