Individual
MRS. BLAIRE HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,C.C.C.
Contact information
Practice address
400 CELEBRATION PL, SUITE C200, CELEBRATION, FL 34747-4970
(407) 303-4003
(407) 303-4303
Mailing address
400 CELEBRATION PL, SUITE C200, CELEBRATION, FL 34747-4970
(407) 303-4003
(407) 303-4303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9383
FL
235Z00000X
Speech-Language Pathologist
SZ4050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891759100
—
FL
Enumeration date
02/27/2007
Last updated
05/22/2015
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