Healthcare Provider Details

I. General information

NPI: 1750520177
Provider Name (Legal Business Name): CHRISTINE A HARRINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2009
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4389 PRICE AVE
SANTA ROSA CA
95407-6550
US

IV. Provider business mailing address

14 FIDDLERS LN
AVERILL PARK NY
12018-5903
US

V. Phone/Fax

Practice location:
  • Phone: 707-542-0550
  • Fax:
Mailing address:
  • Phone: 518-330-5262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP30676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: