Provider Demographics
NPI:1922201490
Name:HARRYMAN, DEE L (DEAF EDUCATOR, AUDIO)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:L
Last Name:HARRYMAN
Suffix:
Gender:F
Credentials:DEAF EDUCATOR, AUDIO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 NW WHITLOCK DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2044
Mailing Address - Country:US
Mailing Address - Phone:816-524-5254
Mailing Address - Fax:
Practice Address - Street 1:421 NW WHITLOCK DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2044
Practice Address - Country:US
Practice Address - Phone:816-524-5254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00366231H00000X
MO001011237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO001011OtherHEARING INSTRUMENT SPECIA