Provider Demographics
NPI:1649727413
Name:HARRIS, CADY (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:CADY
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 S MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-4157
Mailing Address - Country:US
Mailing Address - Phone:985-285-7070
Mailing Address - Fax:
Practice Address - Street 1:503 W CANAL ST
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-3914
Practice Address - Country:US
Practice Address - Phone:601-889-9800
Practice Address - Fax:601-889-9885
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS4238235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist