Doctor Name: | MS. TANNA LOU HARRIS |
NPI Number: | 1790993905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED.,C.C.C.,SLP |
License Number: | SA4318 |
Business Practice Address: | 650 Douglas Ave Suite 1030 Altamonte Springs, FL - 327142593 |
Business Phone Number: | 4076171323 |
Business Fax Number: | 4077881030 |
Mailing Address: | 650 Douglas Ave, Suite 1030 ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327142593 |
Phone Number: | 4076171323 |
Fax Number: | 4077881030 |
NPI Enumeration Date: | 05/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA4318 |
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 |