Monica Louise Harris, SLP

Individual provider Active NPI Speech-Language Pathologist · Pilot Grove, MO

NPI 1659570752 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1659570752
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2006023679 (MO)
Practice address
4520 Mount Moriah Rd
Pilot Grove, MO 65276-3020
Phone
(660) 366-5041
NPI assigned
Jul 17, 2007
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

State licenses

LicenseStateTypeSpecialty
2006023679MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2006023679 MO Yes

Addresses

Primary practice location

4520 Mount Moriah Rd
Pilot Grove, MO 65276-3020

Mailing address

4520 Mount Moriah Rd
Pilot Grove, MO 65276-3020
Phone (660) 366-5041

Other providers in Pilot Grove, MO

All providers in Pilot Grove, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.