Provider Demographics
NPI:1659603918
Name:HARRISON, ARLENE MENDEZ (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:MENDEZ
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 PROVINCE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1636
Mailing Address - Country:US
Mailing Address - Phone:972-213-8352
Mailing Address - Fax:972-939-9693
Practice Address - Street 1:4010 PROVINCE DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1636
Practice Address - Country:US
Practice Address - Phone:972-213-8352
Practice Address - Fax:972-939-9693
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104461235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist