MEDICARE: MERYL HARRIS

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	SA9395	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376745257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERYL HARRIS

Provider Business Mailing Address
First Line	:	7451 WILES RD
Second Line	:	SUITE 203
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2040
Country	:	US
Telephone Number	:	954-227-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	7451 WILES RD
Second Line	:	SUITE 203
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2040
Country	:	US
Telephone Number	:	954-227-8255
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	10/18/2013

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Directions to “ MERYL HARRIS ” Practice Location

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