Individual
ADRIENNE BLAKE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(301) 644-5000
Mailing address
110 S WASHINGTON ST APT 1, HAVRE DE GRACE, MD 21078-3127
(443) 987-7492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10505
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526000941
—
MD
Enumeration date
02/28/2023
Last updated
02/28/2023
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