Doctor Name: | ALICIA HARRIS |
NPI Number: | 1003018045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | SA 8637 |
Business Practice Address: | 1335 Ariana St Lakeland, FL - 338031879 |
Business Phone Number: | 8634130802 |
Business Fax Number: | 8638130812 |
Mailing Address: | 1335 Ariana St, LAKELAND |
State: | FL |
Postal Code: | 338031879 |
Phone Number: | 8634130802 |
Fax Number: | 8638130812 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |