Cynthia Louise Harris, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Vienna, MO
NPI 1265055438 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1265055438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2018030844 (MO)
- Practice address
- 300 4TH Street
Vienna, MO 65582 - Phone
- (573) 422-3365
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2018030844 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 2018030844 | MO | Yes |
Addresses
Primary practice location
300 4TH Street
Vienna, MO 65582
Mailing address
304 Victoria LN
Rolla, MO 65401-4191
Phone (573) 578-3239
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | harriscindy733@gmail.com |
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All providers in Vienna, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. 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.