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NPI Code Detail

MEDICARE: MRS. HOLLY DANIELLE HARRIS SLP

MEDICARE: MRS. HOLLY DANIELLE HARRIS 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
1235Z00000XSpeech-Language Pathologist102861TX

General Provider Information

NPI Number : 1396134227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY DANIELLE HARRIS SLP
Provider Business Mailing Address
First Line : 1751 N 15TH ST
Second Line :
City : ABILENE
State : TX
Zip : 79603-4430
Country : US
Telephone Number : 325-673-8892
Fax Number :
Provider Business Practice Location Address
First Line : 1751 N 15TH ST
Second Line :
City : ABILENE
State : TX
Zip : 79603-4430
Country : US
Telephone Number : 325-673-8892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 01/15/2015

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Directions to “ MRS. HOLLY DANIELLE HARRIS SLP” Practice Location

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