Individual
BETH BLAKE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5708 CALLCOTT WAY UNIT A, ALEXANDRIA, VA 22312-4105
(703) 678-5692
Mailing address
5708 CALLCOTT WAY UNIT A, ALEXANDRIA, VA 22312-4105
(703) 678-5692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16555
TX
Other
Enumeration date
07/13/2006
Last updated
04/05/2012
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