Harris, Tambra Lea

Harris, Tambra Lea is an sole proprietor health care provider with primary practice located at 300 Preston Dr , Kingwood WV 26537-1551. 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, Tambra Lea can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
300 Preston Dr Kingwood WV 26537-1551
Fax: (304) 624-5223
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X West Virginia

Profile Details

NPI number 1720259286
LBN Legal business name Harris, Tambra Lea
Credentials MS.CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2008
Last updated Mar 12th, 2008 - 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 1720259286 NPPES
West Virginia MEDICAID 0155331000

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