Provider Demographics
NPI:1689794471
Name:HARMS, ELIZABETH SYMMES (DEVELOP INTERVENTION)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SYMMES
Last Name:HARMS
Suffix:
Gender:F
Credentials:DEVELOP INTERVENTION
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:STANDLEY
Other - Last Name:SYMMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 RIPPLING BROOK CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5931
Mailing Address - Country:US
Mailing Address - Phone:270-300-0447
Mailing Address - Fax:270-360-0126
Practice Address - Street 1:107 RIPPLING BROOK CT
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5931
Practice Address - Country:US
Practice Address - Phone:270-300-0447
Practice Address - Fax:270-360-0126
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2014-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist