Provider Demographics
NPI:1083110860
Name:HARMSEN, KAYE (SLP)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:
Last Name:HARMSEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22W480 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-7391
Mailing Address - Country:US
Mailing Address - Phone:708-280-9133
Mailing Address - Fax:
Practice Address - Street 1:7650 CLARENDON HILLS RD
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2319
Practice Address - Country:US
Practice Address - Phone:708-280-9133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist