Provider Demographics
NPI:1669918975
Name:HARMON-MCELHENEY, TARA (AUD)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:
Last Name:HARMON-MCELHENEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 CORRALES RD NW
Mailing Address - Street 2:SUITE I
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-9254
Mailing Address - Country:US
Mailing Address - Phone:505-890-0003
Mailing Address - Fax:505-221-5757
Practice Address - Street 1:10700 CORRALES RD NW
Practice Address - Street 2:SUITE I
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-9254
Practice Address - Country:US
Practice Address - Phone:505-890-0003
Practice Address - Fax:505-221-5757
Is Sole Proprietor?:No
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6137231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist