Individual
MRS. TRACY HULSE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
340 DILLON RD, MILTON, TN 37118-5527
(615) 273-4143
(615) 273-4144
Mailing address
340 DILLON RD, MILTON, TN 37118-5527
(615) 273-4143
(615) 273-4144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000002504
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4050420
BC/BS PROVIDER NUMBER
TN
Enumeration date
09/06/2007
Last updated
09/06/2007
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