Christine Harbert, CCC/L-SLP

Individual provider Active NPI Speech-Language Pathologist · Goddard, KS

NPI 1730316993 · NPPES record last updated Mar 2, 2022

Key facts

NPI
1730316993
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1799 (KS)
Practice address
620 E Industrial St
Goddard, KS 67052
Phone
(316) 749-6005
Fax
(620) 513-3809
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1799KSMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1799 KS Yes

Addresses

Primary practice location

620 E Industrial St
Goddard, KS 67052

Mailing address

620 E Industrial St
Goddard, KS 67052
Phone (316) 749-6005

Other providers in Goddard, KS

All providers in Goddard, KS · Speech-Language Pathologist in Kansas

Sources for this page

Verify at the official NPI Registry.