Provider Demographics
NPI:1811943350
Name:HARBAGE, KRISTI ELLEN (MA, CCC-A)
Entity type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:ELLEN
Last Name:HARBAGE
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2207
Mailing Address - Country:US
Mailing Address - Phone:828-350-1747
Mailing Address - Fax:
Practice Address - Street 1:300 WHITE PINE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2207
Practice Address - Country:US
Practice Address - Phone:828-350-1747
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC639231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist