Individual
DR. HARISADHAN PATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
790 STRAUB RD W APT 92, MANSFIELD, OH 44904-1889
(308) 293-5728
Mailing address
29 DUKE OF GLOUCESTER RD, BLOOMSBURG, PA 17815-8399
(308) 293-5728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.07685
OH
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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