Doctor Name: | TRACY HARMON |
NPI Number: | 1548554363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 9917 |
Business Practice Address: | 136 W Johnstown Rd Gahanna, OH - 432302773 |
Business Phone Number: | 6145992727 |
Business Fax Number: | 6144710359 |
Mailing Address: | Po Box 30064, GAHANNA |
State: | OH |
Postal Code: | 432300064 |
Phone Number: | 6145992727 |
Fax Number: | 6144710359 |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 06/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |