| Doctor Name: | VANESSA HARRISON |
| NPI Number: | 1134586035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SA12061 |
| Business Practice Address: | 255 Waterman Ave Mount Dora, FL - 327579530 |
| Business Phone Number: | 3523830051 |
| Business Fax Number: | |
| Mailing Address: | 3104 Country Club Rd, SANFORD |
| State: | FL |
| Postal Code: | 327713619 |
| Phone Number: | 9175337252 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2016 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA12061 |
| 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 |