Provider Demographics
NPI:1740431493
Name:HARNEY, MARTHA L (MS)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:L
Last Name:HARNEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 15TH AVE NE
Mailing Address - Street 2:UW SPEECH AND HEARING
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6250
Mailing Address - Country:US
Mailing Address - Phone:206-685-2189
Mailing Address - Fax:206-616-1185
Practice Address - Street 1:4131 15TH AVE NE
Practice Address - Street 2:UW SPEECH AND HEARING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6250
Practice Address - Country:US
Practice Address - Phone:206-685-2189
Practice Address - Fax:206-616-1185
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00001335231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist