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NPI Code Detail

MEDICARE: MARRI HARRIS MS, CCC-SLP

MEDICARE: MARRI HARRIS MS, 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
1235Z00000XSpeech-Language Pathologist8552NC

General Provider Information

NPI Number : 1871989756
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARRI HARRIS MS, CCC-SLP
Provider Business Mailing Address
First Line : 1728 SPARROW HAWK LN
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-9278
Country : US
Telephone Number : 918-232-0037
Fax Number :
Provider Business Practice Location Address
First Line : 1425 E FIRE TOWER RD UNIT 104
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4131
Country : US
Telephone Number : 252-355-5535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 07/25/2023

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Directions to “ MARRI HARRIS MS, CCC-SLP” Practice Location

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