Provider Demographics
NPI:1326152612
Name:HARRIS, MARIA K (MSSLPCCCS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:K
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSSLPCCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 ELYSBURG RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-7822
Mailing Address - Country:US
Mailing Address - Phone:570-275-4889
Mailing Address - Fax:
Practice Address - Street 1:1386 OLD FREEPORT RD
Practice Address - Street 2:SUITE 3B
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3115
Practice Address - Country:US
Practice Address - Phone:717-444-3413
Practice Address - Fax:717-444-3421
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003470L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist