Provider Demographics
NPI:1861644700
Name:MORROW, LORI A (MCD, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:MORROW
Suffix:
Gender:F
Credentials:MCD, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 170606
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-0030
Mailing Address - Country:US
Mailing Address - Phone:864-590-6183
Mailing Address - Fax:864-574-8111
Practice Address - Street 1:287 ANTRIM AVE
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-9154
Practice Address - Country:US
Practice Address - Phone:864-590-6183
Practice Address - Fax:864-574-8111
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4386235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist