Provider Demographics
NPI:1538533823
Name:LOMAX, MORGAN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:
Last Name:LOMAX
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:PAIGE
Other - Last Name:LOMAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 SAINT CHARLES CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2231
Mailing Address - Country:US
Mailing Address - Phone:479-426-5143
Mailing Address - Fax:
Practice Address - Street 1:319 SCHOOLWOOD LN
Practice Address - Street 2:
Practice Address - City:CAMMACK VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:72207-2736
Practice Address - Country:US
Practice Address - Phone:479-426-5143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-24
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist