Individual
DENISE SPROUSE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC/SLP
Contact information
Practice address
36006 VIA GRAN, GRAND ISLAND, FL 32735-9625
(352) 483-1181
(352) 483-1181
Mailing address
36006 VIA GRAN, GRAND ISLAND, FL 32735-9625
(352) 483-1181
(352) 483-1181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880181900
—
FL
Enumeration date
01/28/2007
Last updated
02/09/2011
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