Basic Information
| Provider Information | |||||||||
| NPI: | 1295971547 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRINGTON | ||||||||
| FirstName: | HEIDI | ||||||||
| MiddleName: | MARILYN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS/CCC/SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34 LAWRENCE RD | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023605052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815855561 | ||||||||
| FaxNumber: | 7815551481 | ||||||||
| Practice Location | |||||||||
| Address1: | 34 LAWRENCE RD | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023605052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815855561 | ||||||||
| FaxNumber: | 7815551481 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2008 | ||||||||
| LastUpdateDate: | 12/16/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 4724 | MA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.