Provider Demographics
NPI:1932508504
Name:NASH WARD, SUSAN MORGAN (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MORGAN
Last Name:NASH WARD
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:MORGAN
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC/SLP
Mailing Address - Street 1:9030 BOBCAT TRL
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-9309
Mailing Address - Country:US
Mailing Address - Phone:903-277-8478
Mailing Address - Fax:
Practice Address - Street 1:600 S BOIS D ARC ST
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-9677
Practice Address - Country:US
Practice Address - Phone:469-762-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114019235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist