Provider Demographics
NPI:1275706905
Name:HARRIS, MARSHA R (PHD, CCC/SLP)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:R
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PHD, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 STAR HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-2506
Mailing Address - Country:US
Mailing Address - Phone:301-938-1792
Mailing Address - Fax:
Practice Address - Street 1:4926 STAR HILL LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-2506
Practice Address - Country:US
Practice Address - Phone:301-938-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11221235Z00000X
SC5890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist