Individual
KATELYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9751 E GRAND RIVER AVE STE 1, PORTLAND, MI 48875-9802
(517) 376-3650
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008825
MI
235Z00000X
Speech-Language Pathologist
7152000643
MI
Other
Enumeration date
05/30/2023
Last updated
03/19/2024
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