Provider Demographics
NPI:1710331871
Name:HARMS, DEBRA (MA, CCC, SLP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:HARMS
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 1:8389 CANYON OAK DR
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-0755
Mailing Address - Country:US
Mailing Address - Phone:916-716-8918
Mailing Address - Fax:949-215-4281
Practice Address - Street 1:8389 CANYON OAK DR
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-0755
Practice Address - Country:US
Practice Address - Phone:916-716-8918
Practice Address - Fax:949-215-4281
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP10725235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASP10725OtherLICENSE