MEDICARE: MRS. SHARON HARPER HART M.S.,CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	01707	MD

General Provider Information

NPI Number	:	1023672227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON HARPER HART M.S.,CCC-SLP

Provider Business Mailing Address
First Line	:	9102 MEADOW HEIGHTS RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-3321
Country	:	US
Telephone Number	:	410-294-9332
Fax Number	:

Provider Business Practice Location Address
First Line	:	9102 MEADOW HEIGHTS RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-3321
Country	:	US
Telephone Number	:	410-294-9332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2019
Last Update Date	:	04/24/2019

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