Doctor Name: | MISS KANDIS LORRETTA HARRIS |
NPI Number: | 1821147968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2384 |
Business Practice Address: | 2685 Pelham Parkway Suite C Pelham, AL - 35124 |
Business Phone Number: | 2056216503 |
Business Fax Number: | 2056216507 |
Mailing Address: | 2685 Pelham Parkway, Suite C PELHAM |
State: | AL |
Postal Code: | 35124 |
Phone Number: | 2056216503 |
Fax Number: | 2056216507 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 09/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |