Provider Demographics
NPI:1922650399
Name:HARMAN, RITA MICHELLE (BCHIS)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MICHELLE
Last Name:HARMAN
Suffix:
Gender:F
Credentials:BCHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 N PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64058-1321
Mailing Address - Country:US
Mailing Address - Phone:816-796-8165
Mailing Address - Fax:816-796-8165
Practice Address - Street 1:1914 N PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64058-1321
Practice Address - Country:US
Practice Address - Phone:816-796-8165
Practice Address - Fax:816-796-8165
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002031888237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty