Provider Demographics
NPI:1942978507
Name:HARRINGTON, MACI RAE (SLP)
Entity Type:Individual
Prefix:
First Name:MACI
Middle Name:RAE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTE
Mailing Address - State:SD
Mailing Address - Zip Code:57369-2117
Mailing Address - Country:US
Mailing Address - Phone:605-337-3178
Mailing Address - Fax:
Practice Address - Street 1:612 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:PLATTE
Practice Address - State:SD
Practice Address - Zip Code:57369-2117
Practice Address - Country:US
Practice Address - Phone:605-337-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD987-PROV235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist