Harkness, Lisa

Harkness, Lisa is an individual health care provider with primary practice located at 12276 San Jose Blvd Ste 508, Jacksonville FL 32223-8628. 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. Harkness, Lisa can be contacted via phone (904) 886-3228.

Contact Information

Primary practice address
12276 San Jose Blvd Ste 508 Jacksonville FL 32223-8628
Fax: (904) 886-3297
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA1454 Florida

Profile Details

NPI number 1154341451
LBN Legal business name Harkness, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
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 1154341451 NPPES
Florida Other S1307 BLUE CROSS BLUE SHIELD

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