Provider Demographics
NPI:1396206447
Name:HARFORD, VICTORIA HALBROOKS (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:HALBROOKS
Last Name:HARFORD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S LASALLE ST APT 18G
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3636
Mailing Address - Country:US
Mailing Address - Phone:919-818-4033
Mailing Address - Fax:
Practice Address - Street 1:311 S LASALLE ST APT 18G
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3636
Practice Address - Country:US
Practice Address - Phone:919-818-4033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13040235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist