Provider Demographics
NPI:1295971547
Name:HARRINGTON, HEIDI MARILYN (MS/CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:MARILYN
Last Name:HARRINGTON
Suffix:
Gender:F
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 1:34 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5052
Mailing Address - Country:US
Mailing Address - Phone:781-585-5561
Mailing Address - Fax:781-555-1481
Practice Address - Street 1:34 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-5052
Practice Address - Country:US
Practice Address - Phone:781-585-5561
Practice Address - Fax:781-555-1481
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4724235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist