Provider Demographics
NPI:1043361504
Name:GAYE O'NEAL HARPER
Entity Type:Organization
Organization Name:GAYE O'NEAL HARPER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYE
Authorized Official - Middle Name:O'NEAL
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MSP, CCC-SLP
Authorized Official - Phone:850-668-0355
Mailing Address - Street 1:7043 OX BOW RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3580
Mailing Address - Country:US
Mailing Address - Phone:850-668-0355
Mailing Address - Fax:850-893-9041
Practice Address - Street 1:7043 OX BOW RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-3580
Practice Address - Country:US
Practice Address - Phone:850-668-0355
Practice Address - Fax:850-893-9041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA151235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty