Individual
MRS. SUMMER BROOKE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
300 SOUTHWEST SQ., CREATIVE KIDS THERAPY, JONESBORO, AR 72401
(870) 336-0221
Mailing address
PO BOX 595, LAKE CITY, AR 72437
(870) 897-6464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8411
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185931721
—
AR
Enumeration date
02/28/2011
Last updated
06/02/2021
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