Provider Demographics
NPI:1295193522
Name:HARTER, DEBRA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:HARTER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 HAMLIN PL
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-4044
Mailing Address - Country:US
Mailing Address - Phone:425-330-4849
Mailing Address - Fax:
Practice Address - Street 1:684 HAMLIN PL
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-4044
Practice Address - Country:US
Practice Address - Phone:425-330-4849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00002838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist