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NPI Code Detail

MEDICARE: MRS. TRICIA LYNN HARWELL

MEDICARE: MRS. TRICIA LYNN HARWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist24619TX

General Provider Information

NPI Number : 1114161072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRICIA LYNN HARWELL
Provider Business Mailing Address
First Line : 902 E 17TH ST
Second Line :
City : CAMERON
State : TX
Zip : 76520-2012
Country : US
Telephone Number : 254-697-8161
Fax Number :
Provider Business Practice Location Address
First Line : 2104 N KARNES AVE
Second Line :
City : CAMERON
State : TX
Zip : 76520-1055
Country : US
Telephone Number : 254-697-4985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2009
Last Update Date : 04/22/2009

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Directions to “ MRS. TRICIA LYNN HARWELL ” Practice Location

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