Individual
ALICIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1335 ARIANA ST, LAKELAND, FL 33803-1879
(863) 413-0802
(863) 813-0812
Mailing address
1335 ARIANA ST, LAKELAND, FL 33803-1879
(863) 413-0802
(863) 813-0812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA 8637
LICENSE
FL
Enumeration date
06/01/2007
Last updated
07/08/2007
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