Individual
MRS. REBECCA HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1441 S FENBROOK LN, BLOOMINGTON, IN 47401-4176
(646) 298-5246
Mailing address
712 W WHITESTONE ST, BLOOMINGTON, IN 47403-4867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007053A
IN
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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