Harrison, Wendy

Harrison, Wendy is an individual health care provider with primary practice located at 318 W Pike St Suite 104, Lawrenceville GA 30045-3234. 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. Harrison, Wendy can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
318 W Pike St Suite 104 Lawrenceville GA 30045-3234
Fax: (678) 377-2882
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003291 Georgia

Profile Details

NPI number 1669548897
LBN Legal business name Harrison, Wendy
Credentials M.ED.,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
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 1669548897 NPPES
Georgia MEDICAID 10049378
Georgia Other 52198760-001

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