Individual
MS. JOAN B HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
209 W 300 N, LOGAN, UT 84321-3809
(435) 760-1732
Mailing address
208 W 400 N, HYDE PARK, UT 84318-6712
(435) 760-1732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7696074-4102
UT
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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