Morgan Elizabeth Patterson, ECDS

Individual provider Active NPI Developmental Therapist · West Memphis, AR

NPI 1700630753 · NPPES record last updated Apr 29, 2024

Key facts

NPI
1700630753
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
10044441 (AR)
Practice address
1600 Avondale Cir
West Memphis, AR 72301-1794
Phone
(870) 733-9950
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10044441ARMDDevelopmental Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 10044441 AR
Developmental Therapist 222Q00000X 10044441 AR Yes

Addresses

Primary practice location

1600 Avondale Cir
West Memphis, AR 72301-1794

Mailing address

1600 Avondale Cir
West Memphis, AR 72301-1794
Phone (870) 733-9950

Other identifiers

IdentifierTypeStateIssuer
1841416716MedicaidAR

Other names

  • Morgan Elizabeth Capps Former name

Other providers in West Memphis, AR

All providers in West Memphis, AR · Developmental Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.