Individual
GLENA R HARLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10 MALL CT, SUITE B, SAVANNAH, GA 31406-3692
(912) 354-4793
(888) 429-3741
Mailing address
2126 E VICTORY DR, #308, SAVANNAH, GA 31404-3918
(912) 600-4206
(888) 429-3741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00742167A
—
GA
Enumeration date
09/11/2006
Last updated
05/20/2013
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