Provider Demographics
NPI:1003979220
Name:HARRIS, TRISHA KRAUTH (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:KRAUTH
Last Name:HARRIS
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5342 BRIDGEMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4465
Mailing Address - Country:US
Mailing Address - Phone:615-896-0711
Mailing Address - Fax:
Practice Address - Street 1:5342 BRIDGEMORE BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4465
Practice Address - Country:US
Practice Address - Phone:615-896-0711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00002301235Z00000X
TN2301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist