Maria Dolores Harrison

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006472-1 Issued in NY

Practice address

158 N Clinton Ave
Patchogue, NY 11772-1103

Phone

(631) 654-3155

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1407123235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 N CLINTON AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721103",
            "telephone_number": "631-654-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 N CLINTON AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721103",
            "telephone_number": "631-654-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MARIA",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006472-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renae L Hansen, OTR/L
• Karinne Harney
• Lindsay Dale Harris, MA
• Mark Harris, LMT
• Markee Harris, PA-C
• Caroline Lucille Hartridge, D.O.
• Mohammad Saad Hashmi, PHARMD
• Wayne Victor Hatami, PT
• Gilbert Hathaway
• Lori Janine Haus Bulcock, S.L.P.

• Speech-Language Pathologist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.