Provider Demographics
NPI:1912399031
Name:MORRIS, BLANCA FLOR (MS CCC - SLP)
Entity Type:Individual
Prefix:
First Name:BLANCA
Middle Name:FLOR
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS CCC - SLP
Other - Prefix:
Other - First Name:BLANCA
Other - Middle Name:FLOR
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC - SLP
Mailing Address - Street 1:245 CAHABA VALLEY PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124
Mailing Address - Country:US
Mailing Address - Phone:205-942-6820
Mailing Address - Fax:
Practice Address - Street 1:2218 W. 32ND ST.
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-623-5264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015042965235Z00000X
OK235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist