Jennifer M Harris, M.S.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Humboldt, TN
NPI 1124252283 · NPPES record last updated May 5, 2009
Key facts
- NPI
- 1124252283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0000002395 (TN)
- Practice address
- 1310 E Main St
Humboldt, TN 38343-3328 - Phone
- (731) 723-7319
- NPI assigned
- May 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000002395 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris-Lee Speech Services | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000002395 | TN | Yes |
Addresses
Primary practice location
1310 E Main St
Humboldt, TN 38343-3328
Mailing address
1310 E Main St
Humboldt, TN 38343-3328
Phone (731) 723-7319
Other providers in Humboldt, TN
- Casandra Jean Glisson
- Deborah Louise Graves
- Shelby Mosley Graves
- Christin Gray
- Harris-Lee Speech Services
- Debra Renae Henley
- Edmon Jonh Moreno Hilario
- Natalie Hollis
- Heather Ann Hope
- Humble Hearts & Hands
All providers in Humboldt, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.