Provider Demographics
NPI:1285995688
Name:HARRIS, CATHERINE ANNE
Entity type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:ANNE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 SE DOUGLAS
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEE'S SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081
Mailing Address - Country:US
Mailing Address - Phone:816-392-4561
Mailing Address - Fax:816-581-3738
Practice Address - Street 1:226 SE DOUGLAS
Practice Address - Street 2:SUITE 205
Practice Address - City:LEE'S SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081
Practice Address - Country:US
Practice Address - Phone:816-392-4561
Practice Address - Fax:816-581-3738
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0361231222Q00000X
2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist