Provider Demographics
NPI:1093598948
Name:ABILAY, HARLAND JOHN (HAS)
Entity Type:Individual
Prefix:MR
First Name:HARLAND
Middle Name:JOHN
Last Name:ABILAY
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 GRANDE SHOPS AVE # J-1
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-6786
Mailing Address - Country:US
Mailing Address - Phone:330-952-2755
Mailing Address - Fax:
Practice Address - Street 1:5010 GRANDE SHOPS AVE # J-1
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-6786
Practice Address - Country:US
Practice Address - Phone:330-952-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
OH03491237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist