Provider Demographics
NPI:1295777365
Name:HARRIMAN, ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:HARRIMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 LINWOOD AVE
Mailing Address - Street 2:#11M
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-3186
Mailing Address - Country:US
Mailing Address - Phone:201-461-6254
Mailing Address - Fax:
Practice Address - Street 1:2100 LINWOOD AVE
Practice Address - Street 2:#11M
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-3186
Practice Address - Country:US
Practice Address - Phone:201-461-6254
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00450500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist