Doctor Name: | AVERY HARRIS |
NPI Number: | 1063823284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL011898 |
Business Practice Address: | 2990 Holme Ave Immaculate Mary Home Philadelphia, PA - 19136 |
Business Phone Number: | 2159921860 |
Business Fax Number: | |
Mailing Address: | 324 N. Princeton Ave, SWARTHMORE |
State: | PA |
Postal Code: | 19081 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/09/2014 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |