Individual
MRS. CARLA HARVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 7TH CT, VERO BEACH, FL 32960-5761
(772) 584-3888
(772) 584-3889
Mailing address
1140 7TH CT, VERO BEACH, FL 32960-5761
(772) 584-3888
(772) 584-3889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1098
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098
GEORGIA STATE LICENSE
GA
Enumeration date
08/28/2015
Last updated
08/28/2015
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