Doctor Name: | GLENA R HARLAN |
NPI Number: | 1124122155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 001493 |
Business Practice Address: | 10 Mall Ct Suite B Savannah, GA - 314063692 |
Business Phone Number: | 9123544793 |
Business Fax Number: | 8884293741 |
Mailing Address: | 2126 E Victory Dr, #308 SAVANNAH |
State: | GA |
Postal Code: | 314043918 |
Phone Number: | 9126004206 |
Fax Number: | 8884293741 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |