Individual
DANIELLE RENEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 EBENEZER RD STE 101, ROCK HILL, SC 29732-3862
(803) 329-9500
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7925
SC
235Z00000X
Speech-Language Pathologist
SA12141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006324400
—
FL
01
—
CZGAF
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/20/2012
Last updated
05/26/2022
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