Basic Information
| Provider Information | |||||||||
| NPI: | 1972912111 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARMS | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | MS CCC/SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 814 N FRANKLIN AVE | ||||||||
| Address2: | |||||||||
| City: | LITCHFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 620561623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2173246683 | ||||||||
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| Practice Location | |||||||||
| Address1: | 628 S ILLINOIS AVE | ||||||||
| Address2: | |||||||||
| City: | LITCHFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 620562716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2173242153 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2014 | ||||||||
| LastUpdateDate: | 08/12/2014 | ||||||||
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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 | 146000839 | IL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.