Provider Demographics
NPI:1609198811
Name:HARRIS, PIPER (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 RIVERCHASE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2138
Mailing Address - Country:US
Mailing Address - Phone:832-563-7464
Mailing Address - Fax:
Practice Address - Street 1:523 N SAM HOUSTON PKWY E STE 125
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4011
Practice Address - Country:US
Practice Address - Phone:281-272-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist