Provider Demographics
NPI:1528542404
Name:HARITOS, ANNIE NOELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:NOELLE
Last Name:HARITOS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 BRENDANS WAY
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-6366
Mailing Address - Country:US
Mailing Address - Phone:207-540-0930
Mailing Address - Fax:
Practice Address - Street 1:79 BRENDANS WAY
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-6366
Practice Address - Country:US
Practice Address - Phone:207-540-0930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist