Healthcare Provider Details

I. General information

NPI: 1710806039
Provider Name (Legal Business Name): SHAE-LYNN HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 GORDON ST
READING PA
19601-2611
US

IV. Provider business mailing address

422 GORDON ST
READING PA
19601-2611
US

V. Phone/Fax

Practice location:
  • Phone: 610-488-2938
  • Fax: 610-670-9800
Mailing address:
  • Phone: 610-488-2938
  • Fax: 610-670-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW140283
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: