Provider Demographics
NPI:1255637484
Name:HARBIN, NATALIE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:HARBIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 ASCENT DR
Mailing Address - Street 2:APT 5105
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6854
Mailing Address - Country:US
Mailing Address - Phone:412-334-0731
Mailing Address - Fax:
Practice Address - Street 1:26 PITTSBURGH CIR
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-2136
Practice Address - Country:US
Practice Address - Phone:724-651-1551
Practice Address - Fax:724-752-8573
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-05
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8410235Z00000X
PASL012766235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist