Harris, Tanna Lou

Harris, Tanna Lou is an sole proprietor health care provider with primary practice located at 650 Douglas Ave Suite 1030, Altamonte Springs FL 32714-2593. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Harris, Tanna Lou can be contacted via phone (407) 617-1323.

Contact Information

Primary practice address
650 Douglas Ave Suite 1030 Altamonte Springs FL 32714-2593
Phone: (407) 617-1323
Fax: (407) 788-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA4318 Florida

Profile Details

NPI number 1790993905
LBN Legal business name Harris, Tanna Lou
Credentials M.ED.,C.C.C.,SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790993905 NPPES
Florida MEDICAID 887044600
Florida Other S2323

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