Provider Demographics
NPI:1386508505
Name:HARSTON-FLIER, ANNIE (SLPA)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:HARSTON-FLIER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 PLAZA CT APT 20
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-2720
Mailing Address - Country:US
Mailing Address - Phone:410-321-4267
Mailing Address - Fax:
Practice Address - Street 1:1220 N 10TH ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-4636
Practice Address - Country:US
Practice Address - Phone:314-231-7284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20250380192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant