Doctor Name: | BEN HARNAGE |
NPI Number: | 1740332147 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | SLP006077 |
Business Practice Address: | 1428 19 41 S Griffin, GA - 30224 |
Business Phone Number: | 7702296498 |
Business Fax Number: | 7702296958 |
Mailing Address: | 1428 19 41 S, GRIFFIN |
State: | GA |
Postal Code: | 30224 |
Phone Number: | 7702296498 |
Fax Number: | 7702296958 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006077 |
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 |