Provider Demographics
NPI:1528224342
Name:HARMON, BRITNEY (SLP)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:HARMON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:5 TONIA DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-8403
Mailing Address - Country:US
Mailing Address - Phone:501-472-6391
Mailing Address - Fax:
Practice Address - Street 1:5 TONIA DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-8403
Practice Address - Country:US
Practice Address - Phone:501-472-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP 2547235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR168298721Medicaid