Healthcare Provider Details

I. General information

NPI: 1740431493
Provider Name (Legal Business Name): MARTHA L HARNEY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 15TH AVE NE UW SPEECH AND HEARING
SEATTLE WA
98105-6250
US

IV. Provider business mailing address

4131 15TH AVE NE UW SPEECH AND HEARING
SEATTLE WA
98105-6250
US

V. Phone/Fax

Practice location:
  • Phone: 206-685-2189
  • Fax: 206-616-1185
Mailing address:
  • Phone: 206-685-2189
  • Fax: 206-616-1185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00001335
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: