Provider Demographics
NPI:1174778211
Name:HARRIS, KYIRA (MA SPEECH PATHOLOGY)
Entity type:Individual
Prefix:MS
First Name:KYIRA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA SPEECH PATHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PARK TER E
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1409
Mailing Address - Country:US
Mailing Address - Phone:212-304-4509
Mailing Address - Fax:
Practice Address - Street 1:70 PARK TER E
Practice Address - Street 2:SUITE 6B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1409
Practice Address - Country:US
Practice Address - Phone:212-304-4509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011367-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist