Individual
MACY LYNN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
204 HARNETT CT STE C, CLARKSVILLE, TN 37043-2066
(931) 538-3755
Mailing address
204 HARNETT CT STE C, CLARKSVILLE, TN 37043-2066
(931) 538-3755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6479
TN BOARD OF COMMUNICATION DISORDERS AND SCIENCES SPEECH LANGUAGE PATHOLOGY
TN
Enumeration date
05/21/2019
Last updated
05/21/2019
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