Provider Demographics
NPI:1205859071
Name:HARRIS, ANNE BLANKER (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:BLANKER
Last Name:HARRIS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 CLIFFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4802
Mailing Address - Country:US
Mailing Address - Phone:703-727-7317
Mailing Address - Fax:412-761-7336
Practice Address - Street 1:35 N BALPH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3200
Practice Address - Country:US
Practice Address - Phone:412-761-6062
Practice Address - Fax:412-761-7336
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008357235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist