Individual
ALICE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
5871 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3669
(757) 642-2267
Mailing address
9004 RIVER CRES, SUFFOLK, VA 23433-1304
(757) 642-2267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006087
VA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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