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NPI Code Detail

MEDICARE: FAITH KATHLEEN HARRISON

MEDICARE:   FAITH KATHLEEN HARRISON
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 Pathologist

General Provider Information

NPI Number : 1548907363
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH KATHLEEN HARRISON
Provider Business Mailing Address
First Line : 1218 DREXEL AVE APT 204
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-8071
Country : US
Telephone Number : 484-716-6071
Fax Number :
Provider Business Practice Location Address
First Line : 1218 DREXEL AVE APT 204
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-8071
Country : US
Telephone Number : 484-716-6071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2022
Last Update Date : 05/13/2022

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Directions to “ FAITH KATHLEEN HARRISON ” Practice Location

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