Provider Demographics
NPI:1649710138
Name:SCHLACHT, HARRIET
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:
Last Name:SCHLACHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:HARRIET
Other - Middle Name:
Other - Last Name:SCHLACHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1521 S DURANGO AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3324
Mailing Address - Country:US
Mailing Address - Phone:310-406-5866
Mailing Address - Fax:
Practice Address - Street 1:1521 S DURANGO AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3324
Practice Address - Country:US
Practice Address - Phone:310-406-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10093235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist