Healthcare Provider Details

I. General information

NPI: 1447761945
Provider Name (Legal Business Name): KELLY TURNER HARRINGTON M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 HIGHLAND AVE
GREENSBORO NC
27412-5018
US

IV. Provider business mailing address

524 HIGHLAND AVE 300 FERGUSON BUILDING
GREENSBORO NC
27412
US

V. Phone/Fax

Practice location:
  • Phone: 336-334-5939
  • Fax:
Mailing address:
  • Phone: 336-334-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5738
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: