Basic Information
| Provider Information | |||||||||
| NPI: | 1750689691 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARDER | ||||||||
| FirstName: | TAMMY | ||||||||
| MiddleName: | RUTH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 544 SPRING HOLLOW DRIVE | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197097815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8179958726 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 BIDDLE AVE #11 | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3028361000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2011 | ||||||||
| LastUpdateDate: | 06/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 104593 | TX | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | 01-0001812 | DE | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.