Provider Demographics
NPI:1609008325
Name:HARRIS, NORMA NORMA (MA, PH,D, MA)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:NORMA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA, PH,D, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 E 10TH AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3252
Mailing Address - Country:US
Mailing Address - Phone:729-891-3993
Mailing Address - Fax:
Practice Address - Street 1:615 E 10TH AVE APT 9
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3252
Practice Address - Country:US
Practice Address - Phone:729-891-3993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0442557235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist