Mighty-Harmon, Audrey Natasha

Mighty-Harmon, Audrey Natasha is an individual health care provider with primary practice located at 9923 Ridgeland Ave Suite 131, Chicago Ridge IL 60415-1262. 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. Mighty-Harmon, Audrey Natasha can be contacted via phone (773) 412-9824.

Contact Information

Primary practice address
9923 Ridgeland Ave Suite 131 Chicago Ridge IL 60415-1262
Phone: (773) 412-9824
Fax: (773) 445-0350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146-005187 Illinois

Profile Details

NPI number 1801929336
LBN Legal business name Mighty-Harmon, Audrey Natasha
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 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 1801929336 NPPES
Illinois MEDICAID 100044415
Illinois Other 01635357

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