| Doctor Name: | DR. ARCHIE BERNARD HARMON |
| NPI Number: | 1073752911 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLP |
| License Number: | 2010035674 |
| Business Practice Address: | 4921 Parkview Pl Ste 11a Saint Louis, MO - 631101032 |
| Business Phone Number: | 3143627509 |
| Business Fax Number: | 3143627522 |
| Mailing Address: | 660 S Euclid Ave, C B 8115 SAINT LOUIS |
| State: | MO |
| Postal Code: | 631101010 |
| Phone Number: | 3143627509 |
| Fax Number: | 3143627522 |
| NPI Enumeration Date: | 02/17/2009 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2010035674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |