Provider Demographics
NPI:1598454456
Name:HARVEY, BRIANA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 CALLAWAY CIR
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272-4500
Mailing Address - Country:US
Mailing Address - Phone:769-233-4041
Mailing Address - Fax:
Practice Address - Street 1:115 CALLAWAY CIR
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-4500
Practice Address - Country:US
Practice Address - Phone:769-233-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist